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Doctor insights on: Av Shunt Hemodialysis

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Dialysis shunt and dialysis fistula the same?

Dialysis shunt and dialysis fistula the same?

No: A shunt, or graft, is a piece of synthetic tubular material inserted under the skin that dialysis needles insert directly into. A fistula is a connection of your own artery to a vein. Needles are then placed into the vein when the wall thickness matures. ...Read more

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Shunt (Definition)

Device that allows the flow of usually a fluid between two places. Sometimes a shunt may be used during carotid endarterectomy surgery to maintain the blood flow to the brain while the carotid artery ...Read more


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Av fistula, av graft, subclavian or femoral catheter, av shunt permanent or temporary, which is better?

Av fistula, av graft, subclavian or femoral catheter, av shunt permanent or temporary, which is better?

AV fistula: Countless studies and decades of research have shown a clear advantage for patients who undergo hemodialysis through an av fistula. The second best is an av graft and all catheter-based modalities for hemodialysis are a distant third. ...Read more

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What indication of hemodialysis peritoneal dialysis?

What indication of hemodialysis peritoneal dialysis?

Kidney failure: Hemodialysis and peritoneal dialysis are 2 effective types of treatment for kidney failure. Kidney function generally needs to be less than 10% before dialysis is needed. Kidney failure can be permanent or reversible. Kidney doctors (nephrologists) need to be involved in evaluation and treatment of kidney failure. There are 6 stages depending on severity. Stages 4-6 require specialist care. ...Read more

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Intermittent peritoneal dialysis cpt code?

90945 and 90947: 90945*—dialysis other than hemodialysis (e.g., peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single physician evaluation 90947*—dialysis other than hemodialysis (e.g., peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated physician evaluations, with or without substantial revision of dialysis prescript. ...Read more

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What exactly is continuous ambulatory peritoneal dialysis (capd)?

What exactly is continuous ambulatory peritoneal dialysis (capd)?

Type of dialysis: Capd is a form of dialysis which involves inserting a tube into the abdominal cavity and the lining of the cavity the peritoneum, acts like a kidney and exchanges waste when you instill a special fluid into the cavity via the tube.If you do it 3-4 times a day you can draw the waste out . This different from blood/hemo dialysis.The peritoneal dialysis can be done at your home. ...Read more

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Cure of brain dural av fistula?

Cure of brain dural av fistula?

Not enough info: I am sorry; that question is so general that it is impossible to give you a satisfactory answer in the 400 characters we're allotted. Are you the one with the a-v fistula? Has it bled? What does your neurosurgeon say? ...Read more

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How do physicians de-clot an av fistula for dialysis patients?

How do physicians de-clot an av fistula for dialysis patients?

Open or endo: It can be done with tpa (alteplase) (a high-potency medication to dissolve blood clot) and a rotor-rooter device inserted through a needle stick in the access. I tend to make a small incision to remove the clot with a balloon catheter, then do an angioplasty on the area of stenosis (narrowing) which you usually find in the vein or graft. ...Read more

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With an av shunt for dialysis, will I still hear the bruit?

With an av shunt for dialysis, will I still hear the bruit?

No: The bruit is usually heard with a stethoscope by your physician. You may however feel the "thrill" of the fistula, which is similar to a cat purring. ...Read more

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How long is continuous ambulatory peritoneal dialysis continued?

CAPD Duration: It continues until there is no longer a need for dialysis. Here is an excellent resource for you to read on the internet: http://kidney.Niddk.Nih.Gov/kudiseases/pubs/peritoneal/. ...Read more

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Which are more effective in your opinion: transjugular intrahepatic portosystemic shunt(tips) vs tranditional portal systemic shunt?

Both: Both are effective. The benefit of TIPS is that it is done fairly noninvasively - with a traditional portocaval shunt the operation is bigger. Most have now gone away from doing surgical shunts in favor of the TIPS procedure. TIPS can be very effective in treating ascites (fluid) and varices (dilated veins in the esophagus). ...Read more

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How effective is heart catheter surgery for atrial septal defect?

How effective is heart catheter surgery for atrial septal defect?

Good: If the defect is not overly large, and is located in the center part of the atrial septum (typically an osmium secundum atral septal defect), and there are no associated cardiovascular problems, the short-term and long-term outcomes are very good and catheter based closure is safe in experiences centers. ...Read more

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Are av fistulas permanent?

Are av fistulas permanent?

Don't have to be: It takes a surgical procedure to connect the end if a vein to the side of an artery (create an av fistula). Once created, it will take another surgical procedure to shut the fistula down if need be. Most often they are kept in place even if not used as a back-up system for dialysis access. ...Read more

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Limitations after vp shunt surgery in adult ?

Limitations after vp shunt surgery in adult
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Very few: This is entirely up to your surgeon of course, and will depend on the reason the shunt was put in to begin with, but shunts are put in to improve lifestyle and mobility. So barring anything unforseen, you should enjoy increased activity not limitations. ...Read more

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Subsequent to heart surgery patients suffers acute renal failure, dialysis done breifly then low b.P occurs now dialys?

Depends : Very low blood pressure sometimes hurts kidney function. The need for dialysis in the acute hospital setting is determined by complications of poor kidney function. Your physician can help explain this in the context of the specific patient. ...Read more

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What does the pulmonary artery, pulmonary vein, pulmonary valve, tricuspid valve, do?

What does the pulmonary artery, pulmonary vein, pulmonary valve, tricuspid valve, do?

Wow,: Do u want 2b an md? The pulmonary artery takes the blood (that gave up the oxygen to the tissues in the body) from your right heart to the lungs. Oxygenated blood returns to the left heart via the 4 pulmonary veins. This is called the pulmonary circulation ( see google) pulmonary (in the p.Artery) and the tricuspid (between the 2 chambers of the right heart control the flow in this system. ...Read more

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Is a vp shunt temporary?

Is a vp shunt temporary?

No: If you require a ventriculoperitoneal shunt, it will not be for a reversible condition except in a few circumstances. There are times when they can be removed but this is again unusual. ...Read more

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How does derivation ventricle peritoneal used for hydrocephalus or intracranial hypertension work?

How does derivation ventricle peritoneal used for hydrocephalus or intracranial hypertension work?

Possibly vp shunt: I am not certain of the terms you are using. However hydrocephalus and intracranial hypertension can be treated with ventriculoperitoneal shunt where excess fluid inn brain is shunted through tubing to the abdomen where it is absorbed from the peritoneal surface. ...Read more

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66yr/ m congestive heart failure, stroke, pulmonary embolism, then 2nd massive hemorrhagic stroke, surgery to repair, fell into coma. prognosis?

66yr/ m congestive heart failure, stroke, pulmonary embolism, then 2nd massive hemorrhagic stroke, surgery to repair, fell into coma. prognosis?

Guarded: I am sorry for this situation. No one can say for sure what will happen, but from your description, I think the prognosis would be guarded. ...Read more

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