Publications by authors named "Sachiko Hirotani"

Although necessary for hemodialysis (HD), arteriovenous grafts (AVG) frequently cause complications. Stenosis resulting in venous hypertension is a concern for physicians. Herein, we describe how venous hypertension was improved by using a Viabahn stent graft in an elderly HD patient.

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Background: There are several ways to gain vascular access, including creating an internal shunt, superficialization of the brachial artery, and use of an artificial blood vessel or a catheter. This article describes recent advances and future directions in the field of vascular access in Japan.

Summary: In vascular access techniques using patients' own vessels, such as creating an internal shunt and superficialization of the brachial artery, management and monitoring to maintain healthy conditions is crucial.

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Methods: We conducted an analysis on 11 cases of death after AVG infection that occurred between 1996 and 2013, and compared their information with those of 23 cases of generalized infection due to arteriovenous graft (AVG) infection during the same period who survived.

Results: The cause of death was sepsis in all 11 patients. The initial C-reactive protein (CRP) was 10.

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