Publication: C-ARM Guided Angiogram/Angioplasty for Selected Failed Arterio Venous Fistula. A Report of a Procedure at University Hospital of Nepal
Date
2021
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
End Stage Renal Disease is a last stage of Chronic Kidney Disease which is characterized
by Glomerular Filtration rate of less than 15 ml/min/1.73 m2. Hemodialysis is the
most commonly used modality for treatment of Chronic Kidney disease. Among
the access for hemodialysis arteriovenous fistula is the most common modality.
However most common problems of fistula are significant stenosis of more than
50% which is characterized by limb swelling, pigmentation, tortuous veins, and
difficulty maintaining flow during dialysis from AV fistula. These can be managed
either by minimal intervention or with surgical intervention. Very few hospitals
in Nepal and other countries have an angiographic suite to perform minimal
intervention include angiogram with angioplasty. So in this case we try to address
the use of C-Arm to perform angiogram or fistulogram and even angioplasty for the
management of significant stenosis or complications of arteriovenous fistula.
KEY WORDS
Angiogram/Angioplasty, Arterio venous fistula, C-arm
Description
Vaidya S,1 Karmacharya RM,1 Singh AK,1 Vaidya PR,2 Malinowski M,3 Dhakal A1
1Department of Surgery (Cardio Thoracic and Vascular Surgery)
Dhulikhel Hospital, Kathmandu University Hospital
Dhulikhel, Kavre, Nepal
2Consultant (Cardio and Vascular Surgery)
KIST Medical College Teaching Hospital
Gwarko, Lalitpur
3Consultant (Medical College of Wisconsin)
Wisconsin, USA
Keywords
Angiogram/Angioplasty, Arterio venous fistula, C-arm