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…

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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…

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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…

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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….

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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…

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Central Venous Stenosis and Occlusion

Jul 25, 2017 by in NEPHROLOGY Comments Off on Central Venous Stenosis and Occlusion

Fig. 31.1 Physical exam findings of chest collaterals in a patient with complete bilateral central venous occlusion. Note the numerous central venous catheter scars on the chest wall Access will…

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Hemodialysis Outflow Vein Stenosis

Jul 25, 2017 by in NEPHROLOGY Comments Off on Hemodialysis Outflow Vein Stenosis

Fig. 30.1 Basic anatomy of the thoracic outlet. The axillosubclavian vein passes anteriorly, passing by the junction of the first rib and clavicle. This “space” is open superiorly, but the…

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