Home Dialysis Training Center Division of Artificial Organs University of Utah Salt Lake City, Utah 84112 Introduction Access to the bloodstream has alway been a problem in hemodialysis. The presently preferred method is a surgically created arteriovenous fistula, as described by Brescia and co-workers in 1966. However, the use of the A-V fistula is limited. Frequent venipunctures with large bo...

Tracheo-innominate artery fistula (TIF) is a rare but life-threatening complication of tracheostomy. We describe a 44-year-old man who was admitted for a pressure ulcer infection with a third tracheostomy in place. He showed massive hemoptysis from the TIF, followed by cardiopulmonary arrest. The cuff of the tube was hyperinflated; however, even a slight movement of the tube resulted in recurre...

BACKGROUND Massive hemoptysis is a potentially life threatening respiratory emergency and mandates immediate investigation and intervention. There is no universal consensus regarding the optimal management of these patients, and there are no large series of patients studied. OBJECTIVES Here we reported thirty Iranian patients who were managed with bronchial artery embolization. PATIENTS AND...

Occurrence of bronchial artery aneurysm is rare, and it has been detected in less than 1 % of all selective bronchial arteriography cases. Here, we present a case of a bronchial artery aneurysm caused by a tracheal stent migration. A 59-year-old man was operated on for esophageal cancer, where an esophageal-tracheal fistula occurred 1 week after operation. Surgical repair of the esophageal-trac...

Whenever possible it is suggested that a native arteriovenous fistula is created and used for haemodialysis, as it is superior to an arteriovenous graft and to a central venous catheter. (Level III evidence) When a native arteriovenous fistula is not possible, an artificial arteriovenous graft should be used in preference to a central venous catheter. Arteriovenous grafts have similar patency t...

sis. On physical examination, auscultation of the lung reveals inspiratory crackles, predominantly located in the lower posterior lung zones and auscultation of the heart reveals 2/6 systolic souffle in all of the cardiac zones. During the observation in emergency room, the patient’s hemoglobin values decreased from 15.5 mg/dL to 11.7 mg/dL. Because of this reason, erytrocyte suspension transfu...