Haemodialysis vascular access: current practices amongst Indian nephrologists.
Authors: Bansal D, Kher V, Gupta KL, Banerjee D, Jha V Abstract INTRODUCTION: Despite the growing number of haemodialysis (HD) patients in India, little is known about vascular access practice. We investigated the use and cost of different vascular accesses by Indian nephrologists. METHODS: An online survey was emailed to 920 Indian nephrologists and 388 (42.1%) responded; 98.5% of whom were responsible for managing dialysis patients, 98% in hospitals. RESULTS: Sixty-four percent of patients initiated renal replacement therapy with HD, 7% with peritoneal dialysis, 10% kidney transplantation and 19% conserva...
Source: The Journal of Vascular Access - December 3, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Cephalic vein transposition is a durable approach to managing cephalic arch stenosis.
CONCLUSIONS: Cephalic vein transposition is safe and effective treatment for cephalic arch stenosis without interrupting utilization of the access. The surgical approach to stenosis of the proximal cephalic vein is effective, requires minimal re-interventions, and should be considered for isolated, refractory cephalic arch stenosis in mature arteriovenous fistulas. PMID: 29192722 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - December 3, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Radiation suppresses neointimal hyperplasia through affecting proliferation and apoptosis of vascular smooth muscle cells.
CONCLUSIONS: Postoperative external fractionated irradiation after prosthetic vessel replacement of the abdominal aorta suppressed the development of hyperplasia in the graft neointima in the short term. There was a prominent time- and dose-dependent inhibition of VSMC proliferation by radiation when it was administered. PMID: 29192723 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - December 3, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Rescue of a subclavian-subclavian arteriovenous "necklace" graft by a HeRO ® catheter.
Rescue of a subclavian-subclavian arteriovenous "necklace" graft by a HeRO® catheter. J Vasc Access. 2017 Nov 13;:0 Authors: Somani S, Jalaeian H, Dunn TB, Shrestha P PMID: 29192724 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - December 3, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Viabahn stent for hemodialysis shunt: efficacy, long segment recanalization and prognostic factors for reintervention.
CONCLUSIONS: Considering the high rates of PP, TLPP, APP and SP, Viabahn stents have been proven effective in maintaining or re-establishing the hemodialysis access. Moreover, stent placement after recanalization of LSO of venous out-flow represented a valid approach to rescue a dysfunctional fistula that would otherwise be abandoned. PMID: 29192725 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - December 3, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

In memoriam Seiji Ohira ( ) (1937-2017).
Authors: Gallieni M PMID: 29147995 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - November 18, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Comments on a stripping method to remove stuck catheter and a plea to adopt large size hemodialysis catheters.
Authors: Hong JH PMID: 29147996 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - November 18, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Drug eluting balloon angioplasty for assisted maturation of failing fistulae.
CONCLUSIONS: Drug-eluting balloon angioplasty was to salvage nonmaturing fistulae with durable results in complex patients where conventional treatment had previously failed. Drug-eluting balloons may provide a useful treatment option for patients prone to multiple access failures due accelerated neo-intimal hyperplasia. PMID: 29147997 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - November 18, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Hemodialysis tunneled-cuffed catheter-related atrial thrombus complicated with asymptomatic pulmonary emboli.
Authors: Zhang Z, Zhang D PMID: 29147998 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - November 18, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Selective placement of autogenous arteriovenous fistulae in an over 80-year-old population.
CONCLUSIONS: Although patency rates are inferior and re-intervention rates higher than in younger patients, AVF can be a durable option for RRT in selected elderly patients with improved mortality rates compared with CVC. Age alone should not preclude primary AVF placement. PMID: 29147999 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - November 18, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

The feasibility and safety of PICCs accessed via the superficial femoral vein in patients with superior vena cava syndrome.
CONCLUSIONS: Real-time ultrasound-guided PICCs accessed via the superficial femoral vein at the mid-thigh is a new modified technique with low complications, which can be a feasible and safe alternative venous access for patients with SVCS. PMID: 29148000 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - November 18, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

An arterioarterial prosthetic graft as an alternative option for haemodialysis access: a systematic review.
CONCLUSIONS: This review highlights the potential benefit of arterioarterial grafts for dialysis as an alternative vascular access option. As a result, this review calls for registry-based multicentre study to evaluate this treatment arm as an alternative option when all AVF/AVG options are exhausted. PMID: 29148001 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - November 18, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Targeting zero catheter-related bloodstream infections in pediatric intensive care unit: a retrospective matched case-control study.
CONCLUSIONS: Our data suggest that a bundle aimed at minimizing CR-BSI in critically ill children should incorporate four practices: (1) ultrasound guidance, which minimizes contamination by reducing the number of attempts and possible break-down of aseptic technique; (2) tunneling the catheter to obtain exit site in the infra-clavicular area with reduced bacterial colonization; (3) glue, which seals and protects the exit site; (4) simulation-based education of the staff. PMID: 29148002 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - November 18, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Prevalence of medical adhesive-related skin injury at peripherally inserted central catheter insertion site in oncology patients.
CONCLUSIONS: MARSI at PICC insertion site is a frequent event among oncology patients. Epidemiological data and independent risk factors are presented in our study, which provide a basis for future study in this area. PMID: 29148003 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - November 18, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Cephalad dislocation of PICCs under different upper limb positions: influence of age, gender, BMI, number of lumens.
CONCLUSIONS: Cephalad dislocations of mean 19 mm regularly occur in the upright position induced by gravity. This needs to be taken in account and the PICC should be safely positioned one vertebra lower in the superior vena cava superior with a last confirmation of the PICC placement in an upright position. PMID: 29148004 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - November 18, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Microsurgery for "wrist" arteriovenous fistula creation in children: a retrospective cohort study.
CONCLUSIONS: Microsurgical AVF creation at the wrist can be performed with satisfactory results and should be the preferred technique in the paediatric population. PMID: 29148005 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - November 18, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Autogenous forearm loop arteriovenous fistula creation.
CONCLUSIONS: Distal forearm arteries in diabetics may be severely atherosclerotic. Forearm loop arteriovenous fistula can be considered as the primary access for cases decided as inconvenient for fistula creation due to severe occlusive atherosclerotic disease of the forearm arteries; in order to preserve upper arm veins for future access procedures. PMID: 29148006 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - November 18, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

How to treat arteriovenous graft infection: total versus partial graft excision.
CONCLUSIONS: PGE could be a treatment option for AVG infection to achieve both infection eradication and vascular access preservation in selected patients. Because of a higher risk of recurrent infection, sufficient surgical removal and careful postoperative management are warranted. PMID: 29148007 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - November 18, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Supervised preoperative forearm exercise to increase blood vessel diameter in patients requiring an arteriovenous access for hemodialysis: rationale and design of the PINCH trial.
CONCLUSIONS: The PINCH study is the first trial to evaluate the effect of pre-operative, supervised forearm exercises on vein diameter and fistula maturation in hemodialysis patients. TRIAL REGISTRATION: NTR6382. PMID: 29148008 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - November 18, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Preoperative ultrasound for runoff-venous decompression of peripheral nerves for arteriovenous access-related pain in the upper limb.
CONCLUSIONS: Outflow venous compression to the peripheral nerves may be a cause of AVA-related pain. US-guided assessments of the nerves may improve the safety and efficiency of venous decompression surgeries to treat AVA-related pains. PMID: 29148009 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - November 18, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Experimental study on the chemico-physical interaction between a two-component cyanoacrylate glue and the material of PICCs.
CONCLUSIONS: The long-term use of N-butyl + octyl cyanoacrylate glue on polyurethane PICCs is not expected to be associated to any damage to the catheter. PMID: 29148010 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - November 18, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Dislocation of the end of the catheter due to pressure of the mass of soft tissue of the patient's breast.
Authors: Khavnin Zadeh M, Dehghani Esfahani A, Azadeh A PMID: 29148011 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - November 18, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Use of bovine carotid artery for buttonhole technique hemodialysis.
CONCLUSIONS: These patients were carefully selected based on desire, support, knowledge/experience and ability. Their success suggests that buttonhole technique for hemodialysis on a synthetic semi-biologic graft can be accomplished with morbidity and longevity similar to any graft using non-buttonhole needle access. PMID: 29148012 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - November 18, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

VITOM ® 3D system in surgeon microsurgical vascular training: our model and experience.
VITOM® 3D system in surgeon microsurgical vascular training: our model and experience. J Vasc Access. 2017 Nov 11;:0 Authors: Palumbo VD, Fazzotta S, Damiano G, Lo Monte AI PMID: 29148013 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - November 18, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Aneurysms in vascular access: state of the art and future developments.
Authors: Inston N, Mistry H, Gilbert J, Kingsmore D, Raza Z, Tozzi M, Azizzadeh A, Jones R, Deane C, Wilkins J, Davidson I, Ross J, Gibbs P, Huang D, Valenti D Abstract A master class was held at the Vascular Access at Charing Cross (VA@CX2017) conference in April 2017 with invited experts and active audience participation to discuss arteriovenous (AV) vascular access aneurysms, a serious and common complication of vascular access (VA). The natural history of aneurysms in VA is poorly defined, and although classifications exist they are not uniformly applied in studies or clinical practice. True and pseudo aneurysm...
Source: The Journal of Vascular Access - November 4, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Use of peripherally inserted central venous catheters (PICCs) in children receiving autologous or allogeneic stem-cell transplantation.
CONCLUSIONS: Our data suggest that PICCs are a safe and effective alternative to conventional central venous catheters even in pediatric patients with high risk of infectious and hemorrhagic complications such as patients receiving stem-cell transplantation. PMID: 29099537 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - November 4, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Vascular access in lipoprotein apheresis: a retrospective analysis from the UK's largest lipoprotein apheresis centre.
CONCLUSIONS: Peripheral vein cannulation remains the most common method to facilitate LA. Practice trends indicate a move towards AV fistula creation; the favoured approach receiving support from the expert body in this area. AV fistula failure rate is high and of great concern, therefore we suggest the implementation of upper limb ultrasound vascular mapping in all patients who meet treatment eligibility criteria. We encourage close ties between apheresis units and specialist surgical centres to facilitate patient counselling and monitoring. Further prospective data regarding fistula failure is needed in this expanding tr...
Source: The Journal of Vascular Access - October 29, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Association between post-dialysis hemoglobin level and the survival of vascular access.
CONCLUSIONS: A higher post-dialysis hemoglobin level was associated with vascular access failure. Higher post-dialysis Hb could be a factor that triggers vascular access failure. PMID: 29076517 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - October 29, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Abstracts from the 6th Annual Congress of the Association of Vascular Access and Interventional Renal Physicians (AVATAR).
Authors: Abstract Abstracts from the 6th Annual Congress of the Association of Vascular Access and Interventional Renal Physicians (AVATAR) | July 21-22, 2017 | Goa, India. PMID: 29076518 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - October 29, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Arterial stiffness alone does not explain arteriovenous fistula outcomes.
CONCLUSIONS: All patients in this end-stage renal disease cohort have significant aortic stiffness. The results for pulse wave velocity were slower in the PPT group suggesting a tendency towards stiffer vessels and PFL. PMID: 29076519 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - October 29, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Excellent inter-observer agreement between radiologist and nurse: tracheal carina-based identification of peripherally inserted central catheter tip position.
CONCLUSIONS: Inter-observer agreement between nurse and radiologist is excellent. Our results demonstrate that the measurement of distance between catheter tip and tracheal carina performed by a nurse provide a convenient and reliable way to determine position of PICC tip. Our study also suggests that nurses can be trained to handle PICCs, especially when properly located catheters are applied in critically ill patients during emergency setting. PMID: 29027181 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - October 17, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Preoperative management of arteriovenous fistula (AVF) for hemodialysis.
Authors: Alfano G, Fontana F, Iannaccone M, Noussan P, Cappelli G Abstract Native arteriovenous fistula (AVF) is the favorite access for hemodialysis (HD). The National Kidney Foundation's Kidney Disease Outcomes Quality Initiative (KDOQI) recommends its creation in most patients with renal failure. Unfortunately, intensive efforts to promote native AVF in patients with marginal vessels have increased the rate of primary fistula failure. A non-functioning fistula prompts the use of central venous catheter (CVC) that, unlike AVF, has been associated with an increased risk of morbidity and mortality among patients re...
Source: The Journal of Vascular Access - October 17, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Authors' reply to Comments on: Over-catheter tract suture to prevent bleeding and air embolism after tunneled catheter removal.
Authors: Letachowicz K, Klinger M PMID: 28983896 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - October 8, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Left axillary to right atrium anterior chest wall graft using bovine carotid artery conduit.
CONCLUSIONS: ESRD patients with CVO pose a unique challenge. We believe our approach can provide an excellent option for dialysis access in patients with exhausted conventional access options. PMID: 28983897 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - October 8, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Comments on: Over-catheter tract suture to prevent bleeding and air embolism after tunneled catheter removal.
Authors: Ho Hong J PMID: 28983898 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - October 8, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Understanding patient preferences for femoral central venous catheterization among patients with sickle cell disease.
Authors: Ju Park P, Scott Cole S, Louis Bercu Z, Martin J, Newsome J PMID: 28983899 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - October 8, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Predicting tissue plasminogen activator use and success in in-center hemodialysis patients.
Authors: Kosa SD, Ye C, Thabane L, Gafni A, Lok CE Abstract INTRODUCTION: Hemodialysis catheter malfunction is problematic. We aimed to determine clinical, catheter, and hemodialysis variables that predict: (i) catheter malfunction requiring recombinant tissue-plasminogen activator (TPA) treatment and (ii) the success of TPA administration. METHODS: Clinical, catheter, and hemodialysis variables were collected from a cohort of 559 catheters (141,526 catheter days) in 175 hemodialysis patients (2008-2011). Time to, and predictors of, catheter malfunction were determined for all catheters and primary catheters on...
Source: The Journal of Vascular Access - October 8, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Reply to comments on: Novel use of infrared thermal imaging to predict arteriovenous fistula patency and maturation.
Authors: Al Shakarchi J, Inston N PMID: 28885653 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - September 9, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

What is the best setting for receiving dialysis vascular access repair and maintenance services?
This study compares patient outcomes of receiving DVA services in the freestanding office-based center (FOC) to those of the hospital outpatient department (HOPD). It also examines whether outcomes differ for a centrally managed system of FOCs (CMFOC) compared to all other FOCs (AOFOC). METHODS: Retrospective cohort study of clinically and demographically similar patients within Medicare claims available through United States Renal Data System (USRDS) (2010-2013) who received at least 80% of DVA services in an FOC (n = 80,831) or HOPD (n = 133,965). Separately, FOC population is divided into CMFOC (n = 20,802) and AOFO...
Source: The Journal of Vascular Access - September 9, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Comments on: Novel use of infrared thermal imaging to predict arteriovenous fistula patency and maturation.
Authors: Hopkins L, Khalid U PMID: 28885655 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - September 9, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Experimental investigation on the mechanical behavior of polyurethane PICCs after long-term conservation in in vivo-like conditions.
CONCLUSIONS:: All tested samples were chemically and mechanically stable in the studied conditions, as no significant weight variation was observed even after six months of immersion in ethanol solution. Uniaxial tensile tests confirmed such a response. For each PICC, very similar curves were obtained from samples tested after different immersion durations in the two fluid solutions, particularly for strains lower than 10%. PMID: 28862723 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - September 2, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Abstracts from the American Society of Diagnostic and Interventional Nephrology 13th Annual Scientific Meeting.
Authors: Abstract Abstracts from the American Society of Diagnostic and Interventional Nephrology 13th Annual Scientific Meeting, 10-12 February 2017, New Orleans, USA. PMID: 28862724 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - September 2, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Longitudinal dialysis adequacy and clinical performance of the VectorFlow hemodialysis catheter: a prospective study.
CONCLUSIONS:: The VectorFlow catheter produced safe, effective hemodialysis with Kt/V ≥1.5. A single catheter occlusion occurred and a low rate of infection was seen. Results support the hypothesis that the VectorFlow design reduces thrombogenic risk during clinical performance. PMID: 28862725 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - September 2, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Health-related quality of life of cancer patients with peripherally inserted central catheter: a pilot study.
CONCLUSIONS: HRQOL varies in different types of cancer patients with PICC. PICC may have a low impact on cancer patients' HRQOL. Further large sample studies are needed. PMID: 28777395 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - August 6, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Response to: The role of interventional radiology in detecting abnormalities of the superior vena cava anatomy.
Authors: Rossi UG, Gallieni M, Cariati M PMID: 28777396 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - August 6, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Thrombosis of the superior vena cava due to a Hickman catheter: successful management by rt-PA thrombolysis.
CONCLUSIONS: According to the literature, thrombolytic therapy with rt-PA may be considered the treatment of choice in symptomatic thrombosis of SVC secondary to long-term catheter, uncertainty still exists about dosage, optimal rate of infusion, and optimal duration of treatment, as well as the criteria for choosing local versus systemic infusion. PMID: 28777397 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - August 6, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Impaired maturation of arteriovenous fistula for haemodialysis due to forearm artery stenosis: percutaneous endovascular treatment.
Authors: Pirozzi N, Scrivano J, Pirozzi R, Cordova E, Punzo G, Menè P Abstract INTRODUCTION: Distal autogenous arteriovenous fistula (dAVF), considered the "gold standard" vascular access for haemodialysis, suffers from a high rate of impaired maturation. One of the usual causes is low-flow associated forearm arterial stenosis. In such cases, endovascular treatment by percutaneous transluminal angioplasty represents a helpful option to enable maturation of the vascular access.Currently, there are few reports concerning the treatment of this complication. Therefore, we describe our single-centre exp...
Source: The Journal of Vascular Access - August 6, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Postoperative day 1 access blood flow and resistive index can predict patency in distal forearm arteriovenous fistula.
Authors: Shintaku S, Kawanishi H, Moriishi M, Ago R, Banshodani M, Hashimoto S, Tsuchiya S Abstract INTRODUCTION: Early access failure is an important complication of autogenous arteriovenous fistulas (AVFs). We prospectively monitored patients who underwent AVF creation using ultrasonography. METHODS: Color flow imaging was used to assess access blood flow in patients undergoing creation of a new AVF in the distal forearm preoperatively and at 1 day and 1 week postoperatively. We measured the flow volume (FV) and resistive index (RI) of the brachial artery, and the internal diameter of the brachial artery and ...
Source: The Journal of Vascular Access - August 6, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Comments on: The DRIL procedure for arteriovenous access ischemic steal: a controversial approach.
Authors: Hong JH PMID: 28777400 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - August 6, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Novel use of the ClariVein ® catheter for pharmacomechanical thrombolysis of thrombosed hemodialysis grafts: a case series.
CONCLUSIONS: The combination use of the ClariVein catheter with urokinase for pharmacomechanical thrombolysis in thrombosed hemodialysis grafts is a feasible and safe method that can be performed in a relatively short duration. Our early results have shown 100% technical and clinical success. This case series serves as a platform for an upcoming prospective study to further evaluate this method. PMID: 28777401 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - August 6, 2017 Category: Surgery Tags: J Vasc Access Source Type: research