Management of Vascular Access Steal Syndrome after High Flow Arterio-venous Fistula with Revision Using Distal Inflow (RUDI) Technique
Journal Title: MGM JOURNAL OF MEDICAL SCIENCES - Year 2018, Vol 5, Issue 3
Abstract
Out of 377 patients of end-stage renal disease (ESRD) undergoing hemodialysis through a surgically constructed arteriovenous fistula (AVF), eight patients developed vascular access steal syndrome (VASS) with severe ischemia of the hand on the affected side. Six of these patients were treated with revision using distal inflow (RUDI) technique, in which the fistula is ligated, and an autologous saphenous vein graft is interposed between the disconnected vein and a distal artery. In all these patients, symptoms and signs of hand ischemia regressed whereas flow through the AVF was preserved. We consider RUDI an effective procedure to address VASS because of AVF.
Evaluation of the VITEK Mass Spectrometry System for Rapid Identification of Medically Important Yeasts and Molds
Background: Rapid identification of fungi and molds reduce turnaround time and cost for diagnosis of infections with these organisms in a clinical microbiology laboratory. We report here the clinical evaluation of the VI...
Suggested Protocol of Training Postgraduate Students of Obstetrics–Gynecology in Internal Iliac Artery Ligation
Postpartum hemorrhage (PPH) is a common cause of maternal morbidity and mortality in developing countries. A large number of patients respond to standard medical and surgical treatment, but in some, these procedures fail...
Over-the-counter Drug Market in India: A Study to understand the Current Regulatory Perspective and Industry Dynamics
Self-medication is on the rise in India. This is due to various reasons that are connected to the environment, demographic factors, changing consumer lifestyles, government policies, and strategies of the pharmaceutical...
Accelerated Atherosclerosis: A Clinical Report
Aim: The present study was conducted to determine the major risk factors for accelerated atherosclerosis.
Chest Tube Insertion
Chest tube insertion (also called tube thoracostomy) is one of the commonest procedures done in the emergency room by surgical residents. Proper placement of tube in the pleural space is essential to drain air, fluid, an...