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The management of high flow arteriovenous fistula and possible solutions.
J Vasc Access
October 2024
AUSL Pescara, Interventional Nephrology Unit, Via Fonte Romana, Pescara, Italy.
Background: The development of a high flow rate arteriovenous fistula (AVF) can expose the patient to development of heart failure due to increased cardiac preload and pulmonary hypertension.
Objectives: AVF flow measurement (Qa) is considered a screening tool for AVF surveillance, aiming to evaluate the access dysfunction and prevent complications, like a non-maturation, suspected stenosis, high-flow AVF, and distal ischemia. In the upper arm AVF, a high Qa may develops, which can expose the patient to the risk of high-output heart failure and ischemia.
Augmentation-Mastopexy With 4-Layer Autologous Fat Grafting and Evaluation of Viability With MRI.
Aesthet Surg J Open Forum
June 2024
Background: Autologous fat (AF) grafting is widely used in plastic surgery and is generally considered a safe and effective procedure. A combined approach utilizing vibration amplification of sound energy at resonance (VASER) to prepare AF grafts with a 4-layer fat grafting technique was explored in this study.
Objectives: To offer a customized solution that accommodates individual anatomical differences.
Prognostic nomogram for the patency of wrist autologous arteriovenous fistula in first year.
iScience
September 2024
Department of General Surgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Autologous arteriovenous fistula (AVF) is preferred in hemodialysis patients. Maintaining its patency is a critical problem. This study aimed to create a nomogram model for predicting 1-year primary patency of AVF.
View Article and Find Full Text PDFHemodialysis Vascular Access: A Historical Perspective on Access Promotion, Barriers, and Lessons for the Future.
Kidney Med
September 2024
Department of Medicine, Indiana University School of Medicine, Indianapolis, IN.
This review describes the history of vascular access for hemodialysis (HD) over the past 8 decades. Reliable, repeatable vascular access for outpatient HD began in the 1960s with the Quinton-Scribner shunt. This was followed by the autologous Brecia-Cimino radial-cephalic arteriovenous fistula (AVF), which dominated HD vascular access for the next 20 years.
View Article and Find Full Text PDFEffect of no-touch versus conventional technique on arteriovenous fistula outcomes: a randomised controlled trial.
J Nephrol
September 2024
Department of Vascular Surgery, Dazhou Central Hospital, Dazhou, 635000, People's Republic of China.
Background: Autologous arteriovenous fistulae (AVFs) are the best type of vascular access in patients with kidney failure. However, the conventional technique has a high failure rate. We performed a randomised controlled trial to investigate whether the no-touch technique has a higher maturation and patency rate than that of the conventional technique for creating AVFs.
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