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Vascular Ultrasound
DMS Vascular Lectures 13
6
Health Care
Professional
08/05/2011

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Term
HEMODIALYSIS
Definition
TREATMENT USED IN RENAL FAILURE
MACHINE WITH A SPECIAL FILTER IS USED TO REMOVE WASTE PRODUCTS FROM THE BLOOD
TREATMENT IS GENERALLY THREE TIMES/WEEK FOR 3-5 HOURS EACH TREATMENT
A VASCULAR ACCESS IS REQUIRED FOR TREATMENT
Term
how a hemodialyser works:
Definition
THE BLOOD IS REMOVED FOR CLEANSING AND RETURNED TO THE BODY WHEN THAT PROCESS IS COMPLETE. THE MACHINE MONITORS THE ARTERIAL PRESSURE AND THE RATE OF FLUID REMOVAL FROM THE BODY. THE DIALYZER IS A LARGE CANISTER CONTAINING THOUSANDS OF SMALL FIBERS THROUGH WHICH THE BLOOD PASSES. DIALYSIS SOLUTION PASSES AROUND THE FIBERS. THE FIBERS ALLOW WASTES AND EXTRA FLUIDS TO PASS FROM THE BLOOD INTO THE SOLUTION WHICH CARRIES THEM AWAY. THE DIALYZER IS SOMETIMES CALLED AN ARTIFICIAL KIDNEY.
Term
HEMODIALYSIS FISTULAS AND GRAFTS
Definition
A HEMODIALYSIS ACCESS GRAFT IS SYNTHETIC MATERIAL THAT IS PLACED BETWEEN AN ARTERY AND VEIN FOR THE PURPOSE OF DIALYSIS PUNCTURE. + LONG TERM DIALYSIS PATIENTS MAY HAVE MULTIPLE GRAFTS AND FISTULAS AS THE DURATION OF PATENCY IS NOT LONG IN SOME TYPES. + ONE OF THE MOST COMMON USES OF DUPLEX ULTRASOUND IMAGING OF THE UPPER EXTREMITY ARTERIES IS POST OPERATIVE EVALUATION OF HEMODIALYSIS GRAFTS AND FISTULAS
Term
which graft has less chance of complications and longer time of patency
Definition
A BRESCIA-CIMINO FISTULA IS A CREATED FISTULA BETWEEN AN ARTERY AND VEIN, FISTULAS ARE AUTOGENOUS AND TEND TO HAVE LONG TERM PATENCY AND LOW COMPLICATION RATES.
Term
GRAFT COMPLICATIONS
Definition
THROMBOSIS / OCCLUSION
STENOSIS Arterial steal
Venous hypertension
Aneurysm or pseudo-aneurysm
Elevated right heart pressure
Term
Most common sites for graft stenosis
Definition
Most common sites for graft stenosis are:
Venous anastomosis
Outflow vein
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