ABSTRACT Objective: Permanent access in the form of a fistula is the preferred form of vascular access for most pediatric patients on maintenance hemodialysis (HD) therapy; however, the technical aspects of the procedure that are unique to the pediatric population, the expectation of a short waiting time for kidney transplantation and the need to cannulate every other day (with the pain and fear associated with...
Incremental dialysis is increasingly recognized as a safe and beneficial method of initiating dialysis. Different centers use distinct prescription methods. We discuss the advantages of incremental hemodialysis and the potential benefit of preserving residual renal function as we present our experience. We reviewed the data from 20 incident patients, with a mean follow-up of 9.5 months, who started dialysis wit...
Abstract The occurrence of ascites after Renal Transplant (RT) is infrequent, and may be a consequence of surgical or medical complications. Case report: 61 year-old, male, history of arterial hypertension, tongue carcinoma and alcoholic habits 12-20g/day. He had chronic kidney disease secondary to autosomal dominant polycystic kidney disease, without hepatic polycystic disease. He underwent cadaver donor RT in...
Background: Juxta-anastomotic stenosis (JAS) is a common complication of radiocephalic arteriovenous fistulas. There is diverging data as to the best therapeutic approach being angioplasty or surgery. Pre-operative color Doppler ultrasound (CDU) is accurately used for initial assessment of the vascular access and follow-up monitoring. The aim of this study was to evaluate immediate and long-term results of endo...
Introduction: Arteriovenous fistula has been associated with improved morbimortality in hemodialysis patients. This has resulted in the fistula First, catheter last initiative. Nonetheless, the survival benefit of arteriovenous fistula has been questioned. Methods: We conducted a retrospective observational study of all patients with non-end stage renal disease referred for first vascular access building betw...
Introdução: O aumento crescente da população em hemodiálise tem implicado o recurso a acessos vasculares de maior complexidade técnica. A introdução de modificações na técnica cirúrgica da transposição da veia basílica (TVB) pretende agilizar o procedimento e diminuir a sua morbilidade. Métodos: Análise prospectiva das TVB efectuadas no CHP-HSA entre Setembro de 2005 e Setembro de 2009. Resultados: Efectuaram-s...
Introdução: Os acessos vasculares são responsáveis por elevada morbilidade nos doentes em hemodiálise. A fístula arteriovenosa (FAV) representa o acesso vascular com menor taxa de complicações, pelo que a Consulta de Acessos Vasculares para hemodiálise procura promover o aumento da sua taxa de patência. Métodos: avaliação retrospectiva dos motivos de referenciação à consulta entre 01-01-2008 e 31-12-2009, do re...