Doctor insights on:
Av Shunt Hemodialysis
Av fistula, av graft, subclavian or femoral catheter, av shunt permanent or temporary, which is better?
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 moreSee 1 more doctor answer
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 moreSee 3 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 4 more doctor answers
My husband has perm a-fib. Has had maze, conversions, hcm, mitral repair, pacemaker/defib, tikosyn (dofetilide) (stopped). Left atrium 6.4 cm. Will the afib lead to heart failure?
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
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
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 moreSee 1 more doctor answer
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
Subsequent to heart surgery patients suffers acute renal failure, dialysis done breifly then low b.P occurs now dialys?
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 moreSee 1 more doctor answer