BACKGROUND Recurrent cephalic arch stenosis (CAS) has been linked to high flow and has a high rate of recurrence following angioplasty. This study investigates the effectiveness of access flow reduction in decreasing rapidly recurrent symptomatic CAS. METHODS A retrospective study of patient records from February 2005 to April 2009 was conducted. Patients with brachiocephalic fistulas who had...

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The major problem associated with the creation of an arteriovenous fistula (AVF), which is the optimal form of vascular access for hemodialysis, is the fact that fistulas do not necessarily mature into a usable vascular access, requiring subsequent revision and construction of another access. The caliber of the vessels used for fistula creation is a pivotal factor predicting the presumable matu...

Introduction: Patients having End Stage Renal Disease (ESRD) require kidney replacement therapy for survival. As transplantation is expensive, haemodialysis using an Arteriovenous Fistula (AVF) the preferred mode of management. Preoperative assessment blood vessels Doppler Ultrasonography (DUS) in creation efficient AVF. Aim: To use DUS evaluation and mapping vessels, selection AVF construction...

We present a case of 36 years old male with end stage renal failure, hemodialysed for 3 years, who developed symptomatic Dialysis Access Steal Syndrome (DASS) in his right hand due to high flow brachial–cephalic arterio-venous fistula. Surgical treatment of steal syndrome was performed by aneurysmorrhaphy of draining cephalic vein, reinforced by the use of the part of bicipital aponeurosis as a...

BackgroundAutogenous arteriovenous fistula creation is the preferred route for vascular access hemodialysis. Although preoperative venous mapping ultrasonography has been advocated as an operative planning adjunct and recently incorporated into Society Vascular Surgery clinical guidelines, controversy remains regarding its usefulness predicting success. The purpose of present retrospective stud...