what is rudi and pai in regards to av fistulas?

Question

Is an av fistula permanent or temporary?

Answer 1

Steal Syndrome Tx: These are both surgical treatments for a condition called, "steal syndrome": when blood preferentially goes back to the heart through the fistula rather than down the arm to the hand. It is more common in people who have blockages in the arteries of the arm/hand. Rudi (revision using distal inflow). Pai (proximalization of the arterial inflow). Both provide more pressure to forearm / hand.

Answer 2

Revisions: If your fistula has too great flow then blood may not get to your hand. This is called steal syndrome. These procedures can help decrease the flow in the fistula so flow returns to the hand.

Answer 3

Revision Surgery: These are two (of several) procedures designed to salvage av fistulas that are causing "steal". A condition where the avf is "stealing" too much blood from the hand causing pain or tissue loss. Another one is the dril and all can be complex.

Answer 4

Inflammation: Either as a result of an infection that 'burrows' or from another source, e.g. Ibd (inflammatory bowel disease) - not to be confused with IBS (irritable bowel syndrome).

Answer 5

Inflammation, Cancer: Anything that can cause the intestine to rupture can potentially lead to a fistula. The most common causes include diverticulitis, inflammatory bowel disease, and colorectal cancer. When a hole occurs, the body's natural tendency is to want to seal this perforation. Typically, an adjacent organ will "band-aid" the hole shut, but the inflammation will burrow a hole into this second structure.

Answer 6

Varies: You probably are refering to a "fistula" for hemodialysis. Maturing refers to the vein dilating ( streching to a larger daimeter than normal as the wall tends to thicken. The amount of flow into the vein will determine the time for "maturing". This may take 2 - 6 weeks. There is a delicate balance between the flow into the fistula and the flow into the tissues ( usually the hand ).

Answer 7

Ask your surgeon: Usually a minimum of 6 weeks before a fistula can be used for dialysis.

Answer 8

Innumerable: There are dozens of different kinds. A fistula is basically an abnormal connection between parts of the body. You can have fistulas between the arteries & veins, small bowel & colon, intestine & bladder, bowel & vagina, lungs & bile ducts, stomach & lungs, esophagus & trachea.... I think you get the idea.

Answer 9

Anal fistulas: This can be a follow up complication of perirectal abscesses.

Answer 10

Anal Fistula: Anal fistula can cause pain, bleeding, discharge and infection. They should be evaluated and treated by a surgeon skilled and comfortable with anorectal diseases. Fistula can be complicated or simple and may require more than one surgery. Fistula should be treated; they rarely resolve on their own.

Answer 11

See your doctor: See a colon and rectal surgeon and have it removed surgically. There are different kinds of treatment available.

Answer 12

SEE YOUR DOCTOR: See you doctor different tests will be needed depending upon type and site of fistula.

Answer 13

Examination only: A fistula can often be confirmed on detailed physical examination without extensive testing. The location of the fistula determines the need for other testing.

what is rudi and pai in regards to av fistulas?

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