- Can We Predict the Unpredictable after Vascular Access Creation? [Editorial]
- CJClin J Am Soc Nephrol 2016 Sep 14
- Right Heart Catheterization via Dialysis Arteriovenous Shunts in End-Stage Renal Disease Patients. [Journal Article]
- JIJ Invasive Cardiol 2016 Sep 15
- CONCLUSIONS: AV dialysis shunts can be used for venous access for right heart catheterization with acceptable feasibility and patient tolerability. Further randomized studies are needed to confirm the benefits of this approach compared with other approaches.
- Pragmatic, Precision Medicine Approaches for Dialysis Vascular Access Dysfunction: Challenges and Opportunities. [Editorial]
- CJClin J Am Soc Nephrol 2016 Sep 7; 11(9):1525-6
- Comorbidities, Hospitalization, and Living Status of Dialysis Patients Over 80 Years. [Journal Article]
- BPBlood Purif 2016 Aug 30; 42(4):282-286
- CONCLUSIONS: Dialysis patients aged ≥80 years have a satisfactory quality of life with no more complications than younger patients.
- A Prospective, Randomized Trial of Routine Duplex Ultrasound Surveillance on Arteriovenous Fistula Maturation. [Journal Article]
- CJClin J Am Soc Nephrol 2016 Aug 24
- CONCLUSIONS: Postoperative routine duplex surveillance failed to prove superiority compared with selective duplex after physical examination for reducing arteriovenous fistula maturation failure. However, the wide 95% confidence interval for the effect of intervention precludes a firm conclusion that routine duplex surveillance was not beneficial.
- Right Ventricular Enlargement within Months of Arteriovenous Fistula Creation in 2 Hemodialysis Patients. [Journal Article]
- THTex Heart Inst J 2016; 43(4):350-3
- Surgically created arteriovenous fistulae (AVF) for hemodialysis can contribute to hemodynamic changes. We describe the cases of 2 male patients in whom new right ventricular enlargement developed af...
Surgically created arteriovenous fistulae (AVF) for hemodialysis can contribute to hemodynamic changes. We describe the cases of 2 male patients in whom new right ventricular enlargement developed after an AVF was created for hemodialysis. Patient 1 sustained high-output heart failure solely attributable to the AVF. After AVF banding and subsequent ligation, his heart failure and right ventricular enlargement resolved. In Patient 2, the AVF contributed to new-onset right ventricular enlargement, heart failure, and ascites. His severe pulmonary hypertension was caused by diastolic heart failure, diabetes mellitus, and obstructive sleep apnea. His right ventricular enlargement and heart failure symptoms did not improve after AVF ligation. We think that our report is the first to specifically correlate the echocardiographic finding of right ventricular enlargement with AVF sequelae. Clinicians who treat end-stage renal disease patients should be aware of this potential sequela of AVF creation, particularly in the upper arm. We recommend obtaining preoperative echocardiograms in all patients who will undergo upper-arm AVF creation, so that comparisons can be made postoperatively. Alternative consideration should be given to creating the AVF in the radial artery, because of less shunting and therefore less potential for right-sided heart failure and pulmonary hypertension. A multidisciplinary approach is optimal when selecting patients for AVF banding or ligation.
- Impact of Staphylococcus aureus protein A (spa) genetic typing in cases of prosthetic shunt graft infections. [Journal Article]
- GGefasschirurgie 2016; 21(Suppl 2):59-62
- CONCLUSIONS: Genetic typing of spa is a suitable technique for distinguishing between nosocomial and community acquired sources of prosthetic shunt graft infections.
- New Insights into Dialysis Vascular Access: Introduction. [Journal Article]
- CJClin J Am Soc Nephrol 2016 Aug 8; 11(8):1484-6
- Improving outcomes in dialysis fistulae. [Comment]
- LctLancet 2016 Sep 10; 388(10049):1029-30
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- Effect of regional versus local anaesthesia on outcome after arteriovenous fistula creation: a randomised controlled trial. [Comment]
- LctLancet 2016 Sep 10; 388(10049):1067-74
- Arteriovenous fistulae are the optimum form of vascular access in end-stage renal failure. However, they have a high early failure rate. Regional compared with local anaesthesia results in greater va...
Arteriovenous fistulae are the optimum form of vascular access in end-stage renal failure. However, they have a high early failure rate. Regional compared with local anaesthesia results in greater vasodilatation and increases short-term blood flow. This study investigated whether regional compared with local anaesthesia improved medium-term arteriovenous fistula patency.