Doctor insights on:
What Does A Dialysis Fistula Look Like
A fistula: A fistula for dialysis is created by connecting a vein in the arm to an artery and giving it usually 6-8 weeks to mature. A good fistula is anatomically not visible but felt through the thrill and bruit it creates. So you should not be able to know the location of a fistula if it is well done. ...Read more
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
A patient who is on dialysis needs the machine to clean toxins from the blood that the kidneys usually do. The patient's blood needs to get out of the body, through the machine, and back into the body.
A dialysis fistula is made by sewing a vein to an artery. This short-circuits the blood flow and the vein becomes dilated because it experiences arterial pressures. This can be used for access. ...Read more
Two methods: There are two methods: mechanical or chemical. Occasionally both methods are used. In general, the doctor accesses the av graft or fistula with a needle and places a tube into the graft. He then uses wires and catheters to cross the clot and inject clot busting meds. There are devices he can use that also break up clot. Or, he can open the graft and use special balloons to pull clot out. ...Read more
When an artery is connected to a vein, the vein walls thicken and become muscular (due to the new high arterial pressure).
This makes finding the vein easier. More importantly, the large bore needles can be removed and pressure held, with clot forming in the muscular walls, to stop the bleeding. If the veins weren't muscular, putting the needle in and taking it out safely, aren't possible. ...Read more
Why is it that if a dialysis patient has a ruptured fistula and is haemorrhaging, you shouldn't place a torniquet proximal to the haemorrhage?
Hold direct pressure over the leak
try to control without clotting the entire fistula or graft, so that it may be salvaged.
Tourniquet may stop the bleeding if high enough pressure but may clot the fistula and require more extensive repair.
Call 911 and get help and transport. ...Read more
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
Fistula first: Check out fistulafirst. Org. Search for buttonhole technique. ...Read more
On dialysis patient having some problems all fistula are failed and both juglar are block and capd also non working further what I do I m a tech pl?
It is less traumatic: Usually specially-trained nurses or technicians access dialysis fistulas, not physicians. Metal needles are used to help penetrate the skin and the thickened wall of the vein accurately and with minimal trauma. Sometimes blunt needles are used (if a buttonholing technique is being employed). ...Read more
What is the purpose of a AV fistula for dialysis patients? I can't find anything good on the internet to explain this, please add link if you have one
Depends on cause: Bumps must be looked at to determine their nature. Cannot answer without seeing and palpating the sites. ...Read more
During dialysis why does the subclavian catheter have darker blood than in patients with a fistula?
For a dialysis, why is the subclavian catheter has darker blood rather than in patient with fistula?
Catheter vs fistula: An a-v fistula (avf) is a connection between an artery and a vein, that's why its called an a, for artery, v, for vein, fistula. Arterial blood has more oxygen, making it redder, than venous blood. A subclavian catheter has both blood tubes in the vein, where there is less oxygenated blood, as it does not have any arterial inflow. That's why it has darker blood than an avf. ...Read more
I am a dialysis patient for 2 yrs. I lift 5 to 10 pds of weights, is it okay for my av fistula. And what can I take to build muscle?
AVF and weights: The answer to your question about lifting weights being ok for your avf is "yes". You need to speak to your renal dietician about what you can eat to build up muscle. Good luck. ...Read more
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
What cosmetic surgery options are available for scarring/bumps after having a dialysis fistula on your arm?
Plastic surgery: A plastic surgeon would have to exam the area and develop a plan of care. ...Read more
I am dialysis patient. Doing since last 6 years. I had line in my neck n when they remove it got clot. Caz of that my fistula hand is swelled.
Venous Hypertension: The fistula causes increase blood flow through the veins draining the arm. If the veins are blocked or narrowed (both possible because of long term dialysis catheter) the increased pressure causes more fluid to collect in the arm and cause swelling. An interventional radiologist might be able to treat the narrowing with a baloon dilation and stunting. ...Read more
I have an av fistula in the antecubital space of my arm and a peritoneal dialysis catheter, is there a safe way to play paintball?
Would avoid: High impact paintball may cause damage ask your surgeon what they think. ...Read more
I have an av fistulla made 3 yrs. Ago. I'm on dialysis, I lift 5-10 pds. After lifting, I noticed a bruise near the access, can I continue to lift?
No: Please have the av shunt checked for leakage and patency. ...Read more
Lump on skin: Hemodialysis sites look like engorged veins. If they are "fistulas" (artery connected to a vein) the lump on the skin follows the natural pathway of the vein. Over time these can dilate and become aneurysmal. The arterio-venous grafts are basically synthetic / plastic tubes which are placed right under the skin. These you can see and feel. The actual needle puncture sites develop small scabs. ...Read more
Femoral AV fistula:
Here is a link that will show you a multitude of images of a femoral av fistula:
https://www. Google. Com/search? Hl=en;site=imghp;tbm=isch;source=hp;biw=1280;bih=922;q=femoral+av+fistula;oq=femoral+av+f;gs_l=img.1.0.0i24l3.1107.5179.0.7518.104.22.168.22.214.171.124.688.7j1.8.0....0...1ac.1.32.Img. 0.14.688.Hbqen24dzem;safe=active;ssui=on. ...Read more
Dialysis machine: The purpose of a dialysis machine (D) and the artificial kidney (A) used on it is to replace the function of the kidneys of an end stage renal disease kidney patient which do not work. The A filters the blood of the patient removing waste products and water the diseased kidneys of the patient cannot do. This prevents the patient dying of kidney failure. The D does not affect the patient's kidneys. ...Read more
Recycling PD bags: Never a good idea!Get a more detailed answer ›
Generally...: 1) make incision, 2) find vein and inspect for appropriateness as an av fistula, 3) find artery, 4) connect the vein onto the artery, 5) close incision. The details vary slightly depending on the site on one's arm or leg, but generally the five steps listed is all that's involved. ...Read more
Dialysis: By removing potentially toxic waste and excess water. In simple terms, it cleanses the blood in a similar fashion to the kidney, but it is not nearly as good as a single, well functioning kidney. ...Read more
Not sure: You need to specify where is the strain and what lead to it. ...Read more
Possibly: If you are on hemodialysis, then you will have to be at an in center facility three times a week for 3 to 4 hours per session. This form of dilaysis makes it very difficult to maintain a full time job however if you choose to perform peritoneal or home hemodialysis, they you have a better shot of maintaining a full time position. ...Read more
See below: Dialysis is initiated if your nephrologists determines you have inadequate kidney function, some cases are reversible and they can determine if you have recovered some function and hold dialysis. ...Read more
A lot of effects: While dialysis is essential to survival by replacing kidney function unfortunately there is a price to pay with that. Dialysis patients are anemic (low blood counts) and require medications for that, they have many problems with their calcium and phosphorus level. Patients and especially men mostly can be depressed and they lack sexual desire. They may have weight loss and peripheral nerve damag. ...Read more
Removes waste, fluid: Dialysis takes over two important functions of the kidney: removing waste products & removing excess fluid. There are two basic techniques: hemodialysis and peritoneal dialysis. In hemodialysis, blood is removed from the body, circulated through a filter much like an oil filter, and returned to the blood stream. Peritoneal dialysis uses the peritoneal membrane in the abdomen. ...Read more
Filter: Dialysis does the work of kidneys, acts like kidney filter. Removes the extra fluid and wastes, toxins that accumulate in the body. If one goes through the procedure when the kidney function is normal, it will cause electrolyte derangements, which may be life threatening. ...Read more
Depends: There are many kinds of fistulas. By definition a fistula is an abnormal communication from one organ to another. Anal fistulas arise from the anal crypts internally. Enterocutaneous fistulas connect the bowel to the skin, fistulas can develop from almost any organ and most often indicate some underlying disease process. ...Read more
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