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.
A Case of Charcot–Marie–Tooth Disease with Marfanoid Features
Charcot–Marie–Tooth disease (CMT)/Peroneal muscular atrophy is a diverse group of inherited chronic peripheral neuropathies. Afflicted patients develop progressive weakness and atrophy in distal-muscles of limbs and defo...
Endovascular Laser Therapy in Varicose Veins: One Year Follow-up of 200 Patients
Two-hundred patients suffering from varicose veins of the great saphenous vein with chronic venous insufficiency underwent endovascular laser therapy (EVLT) in MGM Hospital, Aurangabad, Maharashtra, India. Diode laser fi...
Mobile Network-based Tele-electrocardiography: A Review
Easy accessibility and affordability of the mobile phone network have made a mobile network-based tele-electrocardiography (ECG) a reality during the last 15 years. The instrument required for this purpose is very small...
Management of Hemorrhage from Dialysis Access Site: Our Experience
Arteriovenous fistula (AVF) is access to choice for hemodialysis in patients with end-stage renal disease (ESRD). Hemorrhage from the access vein is a known complication. Due to repeated punctures during dialysis, the ve...
Scope and Feasibility of Student-friendly Environmental Sustainability Measures in Educational Institutes: Our Experience in MGM Institute of Health Sciences, Navi Mumbai Campus, Maharashtra, India
Introduction: Environmental sustainability is an important component for transforming higher education for a sustainable tomorrow hence, there is a pressing need to step up initiatives for environmental sustainability. I...