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Doctor insights on: How Are Arm Shunts Used For Dialysis Tied Off

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Dr. Michio Abe Dr. Abe
2 doctors agreed:
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I have 5 coronary artery stents. On average, how long will they remain effective?

Dr. Michio Abe Dr. Abe
2 doctors agreed:
I have 5 coronary artery stents. On average, how long will they remain effective?

Coronary stents: The rate of recurrence of blockage with either drug eluting or bare metal stents at 4-5 years is about 1-2%. If you control your coronary artery risk factors such as high cholesterol, diabetes or high blood pressure, and take antiplatelet medications such as Plavix (clopidogrel) or Aspirin as directed by your physician, you may minimize the chance of reocclusion. ...Read more

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Dr. Quresh Khairullah
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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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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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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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How long would my heart surgery be for two haert valves replaced and bypass too.?

How long would my heart surgery be for two haert valves replaced and bypass too.?

6-8 hours: A bypass takes about 10-15 min per graft (proximAl and distal) each valve takes about 30. - 45 min plus it takes an hour to place lined and put a person to sleep. Most patients Go to OR at 7:30 and will be in ICU by 3:00 ...Read more

Dr. John Kim Dr. Kim
1 doctor agreed:
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How are the machines cleaned for hemodialysis?

Dr. John Kim Dr. Kim
1 doctor agreed:
How are the machines cleaned for hemodialysis?

Depends: The hd machines have removable tubes and filters that are only used once. After hemodialysis the tubes and filters that are in contact with blood are thrown out and exchanged for new ones. ...Read more

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After getting artery stents put in, how long should one be in hospital under observation?

After getting artery stents put in, how long should one be in hospital under observation?

Overnight: Most people stay overnight after a procedure for stents. This can vary depending on other factors including chronic kidney disease, ckd, and other conditions - often referred to as comorbidities by physicians. Your doctor will assess your condition in deciding whether to keep you longer than overnight. All procedures have risks and any, even slight, complication could lengthen your recovery. ...Read more

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How many % the death risk for CABG to treat my LM 70%, & do with maze procedure ( to treat my AF) in the same time? i;m diabetic but i can controlled

How many % the death risk for CABG to treat my LM 70%, & do with maze procedure ( to treat my AF) in the same time? i;m diabetic but i can controlled

% risk: That question is pertinent but must be asked of the surgical/cardiology team(s) you are considering using. Each team has its own results and everyone doesn't have the same results. If your heart is otherwise normal and the rest of your body, lungs, kidney, blood stream, liver etc. are normal; then a risk of death of 5% or greater is excessive. A first rate team probably has a risk of less than 2% ...Read more

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Son had surgery for coarctation aorta, brain was cooled to 25 degrees, are there any possible long term side effects associated with the brain cooling?

Son had surgery for coarctation aorta, brain was cooled to 25 degrees, are there any possible long term side effects associated with the brain cooling?

Yes: Long term issues are incompletely understood. There are fewer long term problems with deep hypothermia vs regular circulatory arrest. But both sets of patients have some behavioral and cognitive issues. Please discuss specific issues with your doctor. ...Read more

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How much time are stents and bypasses supposed to last?

How much time are stents and bypasses supposed to last?

Varies: Many bypasses and stents will eventually fail at some point. The durability really depends on numerous factors and it really varies. Some of these factors include the size of the vessel treated, the length of the stent or bypass, the type of stent, the vessels below the area treated, the quality of the vessel other patient related factors. Your doctor can give you a decent estimate. ...Read more

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How long should ocp's and the occasional exp. Lap. Be used to treat endometriosis? Are there any better long term surgical options available?

How long should ocp's and the occasional exp. Lap. Be used to treat endometriosis? Are there any better long term surgical options available?

Yes: Many people have success treating the causes of hormonal imbalance associated with endometriosis using elimination diets, anti-estrogen diets, and reducing exposure to toxins and pesticides through organic based whole food diets. ...Read more

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How often are glycoprotein inhibitors used prior to surgery for patients needing to be off plavix (clopidogrel) prior to surgery? Is it a good option? I had 2 de stents oct 2012. Need to remove tumor in abdomen.

How often are glycoprotein inhibitors used prior to surgery for patients needing to be off plavix (clopidogrel) prior to surgery? Is it a good option? I had 2 de stents oct 2012. Need to remove tumor in abdomen.

GPIIb/IIIa use: Gpiib/iiia inhibitors are indicated for unstable angina, heart attack and stent placement and not for all different kind of surgery. Having abdomen tumor make you high risk of bleeding. Need physician supervision to monitor platelets, pt, inr, act, aptt if it is used. You already have de stents. May want to discuss about Lovenox (enoxaparin) with short half life. Your doctor has to observe you closely. Good luck. ...Read more

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Can be vp brain shunt surgery done by awake method ( e.G. When the patient has apart from hydrocephalus (e.G heart dis.) and anest. Risk is so big?

Can be vp  brain shunt surgery done by awake method ( e.G. When the patient has apart from hydrocephalus (e.G heart dis.) and anest. Risk is so big?

Its not the rouitine: Vp shunt surgery is usually done with general anesthesia. This is the safest way to do it. Under extreme circumstances, it is possible to do this surgery with local anesthesia nd sedation, but again this will be very unusual. Hope this helps. ...Read more

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If my kidney failure leads to haemodialysis, are there some nsaids filtrated by the dialysis machine (and so used to relieve spondylarthropathy pain)?

If my kidney failure leads to haemodialysis, are there some nsaids filtrated by the dialysis machine (and so used to relieve spondylarthropathy pain)?

The: Dangers on nsaida are gastric ulcer and renal insufficiency, the later not a issue because you are on dialysis. (not so with transplant) so you probably could take, remember other tx for your arthritis are available. ...Read more

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34 M, T2 diabetic since 3 yrs. A1C-5.3, How to preserve my pancreatic Beta cells for long. is it affected even if my sugars are under control?

34 M, T2 diabetic since 3 yrs. A1C-5.3, How to preserve my pancreatic Beta cells for long. is it affected even if my sugars are under control?

If you have: type 1 diabetes, most of your pancreatic cells that can produce insulin have already been destroyed -- however, proper and tight glucose control is essential to preserving the other cells in your body. Work w/your doctor and diabetes team. ...Read more

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How many clamps are used for a tubal ligation?

How many clamps are used for a tubal ligation?

Varies: There are different ways of doing it. Sometimes no clamps are used - sometimes clips, burning, cutting or tying the tubes is preformed. You would need to speak to your doctor to know. ...Read more

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