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A 39-year-old member asked:

what is rudi and pai in regards to av fistulas?

3 doctor answers7 doctors weighed in
Dr. Oliver Aalami
Vascular Surgery 23 years experience
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.
Dr. Michael Korona
Interventional Radiology 33 years experience
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.
Dr. Bradley Thomas
Vascular Surgery 19 years experience
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.

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A 32-year-old member asked:

How does fistula usually form?

2 doctor answers5 doctors weighed in
Dr. Vivek Huilgol
Gastroenterology 35 years experience
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).
A 44-year-old member asked:

How long will it take for my new fistula to mature?

2 doctor answers7 doctors weighed in
Dr. Patrick Wyffels
Specializes in Critical Care
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 ).
CA
A 38-year-old member asked:

What are other kinds of fistula?

2 doctor answers4 doctors weighed in
Dr. Carlo Contreras
A Verified Doctoranswered
A US doctor answeredLearn more
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.
A 39-year-old member asked:

What happens if I have a fistula?

2 doctor answers5 doctors weighed in
Dr. Joshua Katz
Colon and Rectal Surgery 28 years experience
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.
CA
A 38-year-old member asked:

What kinds of tests do I need to confirm fistula development?

2 doctor answers5 doctors weighed in
Dr. Satinder Aggarwal
Internal Medicine 49 years experience
SEE YOUR DOCTOR: See you doctor different tests will be needed depending upon type and site of fistula.

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Last updated Mar 13, 2016

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