The Hemodialysis Reliable Outflow (HeRO) Graft

Jul 25, 2017 by in NEPHROLOGY Comments Off on The Hemodialysis Reliable Outflow (HeRO) Graft

Fig. 32.1 Forearm Scribner shunt, VA Hospital, Bronx, NY 1964 (Courtesy of Dr. Lawson) Fig. 32.2 Early Graftcath device. Note: Venous outflow component without nitinol reinforcement (generation 2) (Used with…

read more

The Thrombosed Hemodialysis Access

Jul 25, 2017 by in NEPHROLOGY Comments Off on The Thrombosed Hemodialysis Access

Fig. 35.1 Intimal hyperplasia at the distal anastomosis of a prosthetic graft (left) to a vein (right) Causes of Access Failure Thrombosis of arteriovenous access is related to the same…

read more

Arterial Inflow Stenosis

Jul 25, 2017 by in NEPHROLOGY Comments Off on Arterial Inflow Stenosis

Fig. 29.1 (a) Doppler US shows the presence of a stenosis of the brachial artery in a patient with a poorly functioning fistula. (b) Gray-scale US of the anastomosis shows…

read more

Forearm Vein Transposition

Jul 25, 2017 by in NEPHROLOGY Comments Off on Forearm Vein Transposition

Fig. 16.1 Incision sites overlying forearm cephalic vein for transposition Fig. 16.2 Dilation of dissected forearm cephalic vein with heparinized saline The portion of the radial artery that has been…

read more

Peritoneal Dialysis

Jul 25, 2017 by in NEPHROLOGY Comments Off on Peritoneal Dialysis

Fig. 40.1 Laparoscopic revision of a “trapped” catheter Once the patient has been determined to be a good candidate for peritoneal dialysis through the evaluation of their ability to perform…

read more

Hemodialysis Access Catheters

Jul 25, 2017 by in NEPHROLOGY Comments Off on Hemodialysis Access Catheters

Fig. 13.1 A tunneled internal jugular hemodialysis catheter. (a) Right internal jugular hemodialysis catheter. Note the smooth transition of the catheter as it courses over the right clavicle without kinking….

read more

Outpatient Surveillance at the Dialysis Center

Jul 25, 2017 by in NEPHROLOGY Comments Off on Outpatient Surveillance at the Dialysis Center

Identified lesions Number Anastomosis stenosis, arterial (ASA) 38 Anastomosis stenosis, venous (ASV) 15 Stenosis, venous (SV) 20 Accessory tributary (AT) 12 Central venous stenosis (CVS) 9 Arterial stenosis (AS) 4…

read more
Get Clinical Tree app for offline access