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Introduction: The arteriovenous fistula (AVF) is the gold standard access modality for haemodialysis, but due to patient and technical factors, it is prone to stenosis and thrombosis. The trans-radial approach offers multiple unique benefits, but its safety, efficiency and efficacy have not been rigorously studied in the context of the AVF. This study provides a case series of trans-radial AVF procedures, and a systematic review and meta-analysis of existing literature to solidify the role of the trans-radial approach in endovascular AVF surgery.

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Introduction: Klippel-Trenaunay Syndrome (KTS) is a medical condition that involves the abnormal enlargement of bones and soft tissues, along with the presence of arterio-venous malformations and cutaneous vascular nevus. This is an uncommon condition that is present from birth and affects the blood vessels. There are relatively few documented cases of how to treat fractures in the lower limbs of individuals with this condition.

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Background: This study was carried out to introduce a new technique of excision arteriotomy and to compare it with standard excision arteriotomy in terms of achieving desired size, shape and margins with minimal technical problems.

Methods: This was a comparative study carried out at the Vascular Surgery Unit of Combined Military Hospital Peshawar between January and September 2022. A total of 150 patients of chronic renal failure undergoing Arteriovenous access fulfilling the inclusion criteria were enrolled in our study.

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Neurological involvement in patients with primary immunodeficiency.

Allergol Immunopathol (Madr)

January 2024

Department of Pediatric Immunology and Rheumatology, Bursa Uludag University, Turkey;

Article Synopsis
  • - Primary immunodeficiency diseases (PID) are associated with recurrent infections and can significantly impact neurological health, with conditions like Ataxia-Telangiectasia, Nijmegen breakage syndrome, and PNP deficiency demonstrating direct neurological involvement.
  • - A study analyzed 108 PID patients and found that the median age for neurological issues was 7 years, with Di George Syndrome and common variable immunodeficiency being the most prevalent.
  • - The results revealed that 99% of patients had central nervous system involvement, with cognitive delays, epilepsy, and ataxia being common outcomes; MRI scans of the brain showed abnormalities in 74% of the patients, highlighting various neurological disorders.
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