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Factors associated with the Initial Vascular Access Choice and Median Utilization Time in Hemodialysis Patients.

Ann Vasc Surg

December 2024

Southeast European Network for Medical Research - SOVE, Sarajevo, Bosnia and Herzegovina.

The aim of the study was to elucidate predictors associated with the initial choice of vascular access (VA) type. The secondary aim was to determine the initial VA's median utilization time and the factors governing it. This prospective cohort study included 387 hemodialysis (HD) patients admitted to the Clinic for Hemodialysis, Clinical Center University of Sarajevo, in consecutive order between January 2006 and December 2016.

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Arteriovenous malformations treated by stereotactic radiosurgery - Review of an Australian single centre's experience.

J Clin Neurosci

December 2024

Department of Radiation Oncology, Nelune Comprehensive Cancer Centre, Prince of Wales Hospital, Randwick, 2031 New South Wales, Australia; School of Clinical Medicine (Randwick Campus), Faculty of Medicine and Health, University of New South Wales, Randwick, 2031 New South Wales, Australia; Department of Radiation Oncology, Tamworth Base Hospital, Tamworth, 2340 New South Wales, Australia.

Linear accelerator (LINAC) stereotactic radiosurgery (SRS) is a specialised treatment used for various brain conditions, including arteriovenous malformations (AVMs). This paper investigates the obliteration rate of AVMs treated by the LINAC-based facility at Prince of Wales Hospital, defines factors influencing obliteration rate, time to obliteration and complications post-SRS. A retrospective audit review of patient notes sourced from electronic medical records was conducted.

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Objective: Central vein occlusion (CVO) is a significant complication in patients undergoing chronic hemodialysis, often leading to dialysis inefficacy, disabling symptoms, and, most critically, major risk of access failure. Although stenting has been proposed as a technique to maintain vascular access patency following the recanalization of occluded central veins, the data supporting its long-term efficacy remains limited. This study aims to evaluate the long-term effectiveness of stenting occluded superior vena cava (SVC) and/or brachiocephalic veins to preserve vascular access patency, ensure continued dialysis efficacy, and relieve SVC syndrome.

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Article Synopsis
  • Spinal dural arteriovenous fistulae (sDAVF) are common vascular malformations in the spine, necessitating surgical intervention to prevent neurological issues, but there’s limited research comparing surgical methods.
  • A systematic review analyzed various surgical techniques used to treat sDAVF and found variability in approaches, with single-level laminectomy being the most common.
  • The study identified 16 significant open questions regarding surgical methods and the need for further research to improve treatment standards and techniques.
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Introduction: Pelvic arteriovenous malformation is often a source of intraoperative bleeding. Here, we report our experience with a case of ureteral cancer with pelvic arteriovenous malformation treated using laparoscopic nephroureterectomy with temporary intraoperative occlusion of the internal iliac artery.

Case Presentation: A 75-year-old man presented to our hospital with asymptomatic macro-hematuria.

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