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Doctor insights on: Why A Dialysis Fistula In Chest Vs Arm

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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

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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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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What does a dialysis fistula actually do?

What does a dialysis fistula actually do?

"short circuit": 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

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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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What is the process of decloting an av fistula for dialysis patients?

What is the process of decloting an av fistula for dialysis patients?

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

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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?

Transplant?: Are you a transplant candidate? If not and you need hemodialysis an interventional radiologist can likely evaluate you for and subsequently place a dialysis catheter directly into your inferior vena cava. Check with your nephrologist or surgeon for an appropriate referral. ...Read more

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What does a fistula for dialysis really look like?

What does a fistula for dialysis really 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

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What does it mean to be fitted with a fistula for dialysis?

What does it mean to be fitted with a fistula for dialysis?

Surgery: Arm vein connected to arm artery. The vein is used for dialysis access once it has been allowed to grow in size ( maturing ). ...Read more

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How does a fistula work to dialysis patient?

Arterial Diversion: 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

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What does an av fistula for dialysis mean?

What does an av fistula for dialysis mean?

Arteriovenous fistul: It is an arteriovenous fistula. It is a surgical connection of an artery and a vein. Once "mature", it is where they insert the needles for the blood to flow to the dialysis machine. It can take 3 months or so from "creation" until it is ready to use. ...Read more

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Why do physicians use metal needles to access dialysis fistula?

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

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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

High flow: An A-V fistula creates a peripheral region of high blood flow so that a large volume of blood can be removed and returned to the body for the "cleaning" done by the dialysis machine. ...Read more

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How long after dialysis fistula can you go swimming?'

Wound healing: Once the surgical site has healed, you can go swimming. Should be about 2-3 weeks. Get a final ok from your surgeon. ...Read more

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Husband has chest catheter for dialysis. said has some green drainage from exit site for a couple weeks. wont go get it looked it. what should he do?

Husband has chest catheter for dialysis. said has some green drainage from exit site for a couple weeks. wont go get it looked it. what should he do?

Not normal: Green drainage or push from any drains is concerning and should be evaluated before it becomes a bigger problem. If he was my father or brother, I would help him make an appointment with the doctor that put in the chest catheter to at least get it looked at. Even if he is stubborn, it may be that he is afraid of what the doctor may tell him. Get him to make an appointment or make it for him. ...Read more

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Can a small intestine fistula cause chest pain?

Can a small intestine fistula cause chest pain?

Maybe.: Hi, Thank you for your question. I wouldn't sit around asking this question if you have chest pain. Are you having heavy pressure in your chest? Hard time breathing? Sweating? If anything like this then you should go to the ED please. Hope that helps..contact me if you have any other questions. Dr. M ...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