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Doctor insights on: Dialysis Left Arm Fistula Edu

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What does it mean to have av fistula in left arm?

What does it mean to have av fistula in left arm?

Connect Vein&Artery: This is when a vein is surgically connected to an artery (end-to-side anastomosis). This maintains blood flow to the hand while diverting blood into the vein. The vein becomes pressurized to arterial pressure and had much higher blood flow. Over time its size will double and its walls thicken so that it can be accessed for dialysis. Left arm is most often used because it is the non-dominant arm. ...Read more

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Dr. Quresh Khairullah
515 doctors shared insights

Dialysis (Definition)

Simple answer is that it is a medical technology used primarily to provide an artificial replacement for lost kidney function in people with renal failure. Hemodialysis remove wastes and excess water from the blood by circulating blood outside the body through an external filter, called a dialyzer. Blood and dialysate flow through in opposite directions and the ...Read more


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Two yrs ago, an IV in left arm, hurt so bad, to remove it, i was given morphine. Now i may need dialysis, but my right arm is my dominate. Will they s?

Two yrs ago, an IV in left arm, hurt so bad, to remove it, i was given morphine. Now i may need dialysis, but my right arm is my dominate. Will they s?

Access placement: If you decide to go on hemodialysis, your vascular access should be a arterio-venous fistula (avf). That is normally placed in the non-dominant arm. Another option is peritoneal dialysis (pd), where a catheter in placed in the peritoneal cavity so no arterial access is needed. See the image on the right. The catheter is not placed in any abdominal organs. Discuss pd with your nephrologist. ...Read more

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I have an av fistula in my left arm - will this make my pulse bounding or weak?

AV fistula: Generally AV fistulas will decrease total peripheral vascular resistance and lower mean arterial blood pressure. This generally will make for a smaller pulse wave. ...Read more

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Taking subclavian vein from left arm n artrey from right n placing graft betwen them for dialysis.is it better or permanent catheter?no other option

Taking subclavian vein from left arm n artrey from right n placing graft betwen them for dialysis.is it better or permanent catheter?no other option

Avoid catheters.: It sounds like your vascular surgeon is planning on placing what is sometimes referred to as a "necklace graft." Regardless of their location, and if placed by an experienced surgeon, grafts carry a much lower risk of getting infected than catheters. With this lower risk for infection, people with grafts generally live longer than those with catheters, so catheters are a last resort. Good luck! ...Read more

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Ckd patient had 5 fistula attempt on arm his venogram is patent radial n ulner but oculuded subclavian n basilary on right n left arm all veins ligate?

Ckd patient had 5 fistula attempt on arm his venogram is patent radial n ulner but oculuded subclavian n basilary on right n left arm all veins ligate?

Ask your treating dr: Apparently, you have a great difficulty to gain access for long-term hemodialysis. Confronting such, one may consider the possibility with artificial vascular graft, which will of course not just have higher risk of infection but require more personal diligence & vigilance in care. To help realize life reality, go to Facts of Life-1,2,&3 by clicking the BUTTON on the left of www.formefirst.com. ...Read more

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I received a kidney transplant 1/4/13. The fistula in my left arm is dead. My left hand is burning, could this be from the fistula?

I received a kidney transplant 1/4/13.  The fistula in my left arm is dead.  My left hand is burning, could this be from the fistula?

Usually not. But,: Everyone is different. Usually when a fistula clots people don't feel any different. Get checked by your doc to make sure there is no other cause for burning. If your fingers are pale or change color or cold, or burning increases, you need urgent eval bec you worry about blood flow issue into the hand. ...Read more

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Should bloodpressure be taken in arm where fistula made for dialysis?

Should bloodpressure be taken in arm where fistula made for dialysis?

No: If you take BP and tighten a cuff above the fistula, clotting can occur and clog the fistula. Distally, there is already a steal of blood flow due to the fistula so you don't want to tighten a cuff there unless there is nowhere else to go. ...Read more

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Is there a cosmetic procedure to remove the bumps on the arm caused by a dialysis fistula?

Is there a cosmetic procedure to remove the bumps on the arm caused by a dialysis fistula?

Depends on cause: Bumps must be looked at to determine their nature. Cannot answer without seeing and palpating the sites. ...Read more

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What are cosmetic surgery options for scarring/bumps after having a dialysis fistula on your arm?

What are cosmetic surgery options for scarring/bumps after having a dialysis fistula on your arm?

Scar Revision: Scars can sometimes be improved with the following methods: 1) passage of time; 2) protection from sun; 3) dermabrasion or laser resurfacing; 4) steroid injection; 5) silicone topical therapy; 6) cosmetics (for camouflage); 7) surgical revision. The methods taht will work best for you will depend on factors seen during an exam. Hope this helps! ...Read more

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Sudden pain in lower inside left arm?

Sudden pain in lower inside left arm?

To the Doctor: Not one of those symptoms that you need to be google searching for the answer on your computer. Your age and gender put you on the side of being safe about this one. See your doctor. If this occurred with or after any exertion i would be particularly concerned. ...Read more

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My left arm feels heavy. its hard to move it?

My left arm feels heavy. its hard to move it?

Left arm symptoms: These symptoms could reflect a focal stroke ! - but this seems highly unlikely, given your age. A second possibility is that you rested on your nerve bundle that runs down the inner tricep region, next to your humerus. This area when compressed makes our arm seem "asleep". A third possibility is a cervical spine nerve root compression. A fourth possibility is an axillary compression of nerves. ...Read more

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What to do if I cannot fully extend my left arm?

What to do if I cannot fully extend my left arm?

Needs to be checked: If you can not extend your left arm,you should consult your doctor or an orthopedic doctor.It may be due to muscle breakdown,Tennis Elbow or other neuro muscular disorders.Get it checked ...Read more

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What to do if pain in my left arm when i smoke.?

How about stopping?: There is an old joke - "Doc, it hurts when I do this." "Don't do that!!" Smoking causes intense constriction of arteries, more so in some very susceptible people, and you could be experiencing angina or heart pain. If it is only when you smoke cigarettes, I would be very concerned and see your doctor immediately for more complete evaluation. AND STOP SMOKING!! Get into a cessation program asap. ...Read more

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What does it mean if my left arm keeps having sharp pains?

"left arm pain": The complaint "left arm pain" can be do to many conditions. Could come from the brain, spine, nerves, blood vessels, aorta, heart, muscles, tendons, ligaments, joints, etc. Your doctor will allow you to provide more information & examine you so he or she can a diagnosis and then provide treatment. ...Read more

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Left arm pain when coughing?

Left arm pain when coughing?

Herniated disc: Coughing increases pressure in the spine and if there is an underlying compression of a nerve or the spinal cord itself, pain can be produced. Best to be examined and perhaps have an MRI of the neck perfored. ...Read more

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What does tingling in my left arm mean?

What does tingling  in my left arm mean?

The list is long: You could have: carpel tunnel radiculopathy diabetes (usually bilateral) vascular disease b12 def. (bil) tia (mini-stroke) ulnar nerve compression sat. Night palsy vasculitis so, go see your doctor. He may refer you after he does some labs and/or xrays or MRI or ....... Good luck. ...Read more

Fistula (Definition)

A fistula is an abnormal connection between two places. Most commonly, it originates somewhere in the intestine and communicates to another location in the intestine or in the skin. A fistula can develop after abdominal surgery, with inflammatory bowel disease, cancer, anorectal abscess, and ...Read more