Introduction: The creation and maintenance of uninterrupted Haemodialysis (HD) is dependent on the quality reliability vascular access. native Radio-cephalic Arteriovenous Fistula (RCAVF) access choice for HD in patients with end stage renal diseases. A thorough understanding anatomy critical selecting site RCAVF that provides flow rates necessary development an optimal outflow vein. widespread...

BACKGROUND Our objective is to provide provision of primary and secondary patency rates data and incidence of complications. Despite the publication of some review articles and small prospective trials about vascular accesses, controversy still exists regarding the choice of the outflow conduit and especially the choice of the fistula to be formed in secondary and tertiary access procedures. ...

BACKGROUND The endovascular salvage of occluded autogenous radial-cephalic fistulae is a more challenging procedure than that for stenotic fistulae. To obtain an access to the fistula is one of the keys to success. Both retrograde venous approach and brachial artery approach have some disadvantages. The radial artery approach has been used in the endovascular therapy of fistula dysfunction, but...

Abstract Aim Up to 20% of arterio-venous fistulas (AVFs) may fail mature become usable for renal access in patients on Haemodialysis (HD). There is no consensus benefit branch ligation. This study aimed assess the outcomes ligation maturation these AVFs. Methods Electronic patient records and Renalware were accessed obtain data procedures done at secondary care centre from 2016 till 2021. Resul...

Introduction: Renal Replacement Therapy is the treatment modality for chronic kidney disease (CKD) which ranges from hemodialysis, peritoneal dialysis to renal transplantation, latter being best form of treatment. But, transplantation available at limited centers only so hemodialysis most commonly used requires a vascular access. But there are surgeons in region arterio-venous (AV) fistulas rec...

UNLABELLED Vascular access in haemodialysis is still accompanied by a high morbidity rate. Neointimal hyperplasia due to thrombosis is one of the main causes of vascular access failure. The purpose of this paper is to present the use of non-penetrating titanium clips (VCS) for the creation of an arteriovenous fistula and its outcome. MATERIALS AND METHODS A male patient, 47 years old, with en...

In patients unsuitable for radiocephalic fistula creation, the next option is brachiocephalic fistula. In such patients, we exploited the venous interconnections in the cubital fossa for median cubital vein-Brachiocephalic arteriovenous fistula (AVF) creation. In this article, we describe our experience in the creation of such technical variant of the brachiocephalic fistula AVF, its success an...

UNLABELLED Limb ischaemia caused by formation of dialysis fistula is rare but serious complication. The severity of symptoms may vary but rest pains and necrotic lesions are observed in most advance cases. In these patients different invasive procedures for treatment are performed - from simplest dialysis fistula ligation to complicated vascular reconstructions. The aim of the study was to eval...

OBJECTIVE This study explored the long-term outcomes of arteriovenous fistulas treated with vonapanitase (recombinant human elastase) at the time of surgical creation. METHODS This was a randomized, double-blind, placebo-controlled trial of 151 patients undergoing radiocephalic or brachiocephalic arteriovenous fistula creation who were randomized equally to placebo, vonapanitase 10 μg, or von...