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A radiocephalic fistula. Illustration depicting AV fistula during hemodialysis. AV (arteriovenous) fistulas are recognized as the preferred access method. To create a fistula, a vascular surgeon joins an artery and a vein together through anastomosis. Since this bypasses the capillaries, blood flows rapidly through the fistula. One can feel ...
An arteriovenous fistula is an abnormal connection or passageway between an artery and a vein. [1] It may be congenital , surgically created for hemodialysis treatments, or acquired due to pathologic process, such as trauma or erosion of an arterial aneurysm .
Surgically created AV fistulas work effectively because they: Have high volume flow rates (as blood takes the path of least resistance; it prefers the (low resistance) AV fistula over traversing (high resistance) capillary beds). Use native blood vessels, which, when compared to synthetic grafts, [5] are less likely to develop stenoses and fail.
Vascular access steal syndrome is a syndrome caused by ischemia (not enough blood flow) resulting from a vascular access device (such as an arteriovenous fistula or synthetic vascular graft–AV fistula) that was installed to provide access for the inflow and outflow of blood during hemodialysis.
Hemodialysis, also spelled haemodialysis, or simply dialysis, is a process of filtering the blood of a person whose kidneys are not working normally. This type of dialysis achieves the extracorporeal removal of waste products such as creatinine and urea and free water from the blood when the kidneys are in a state of kidney failure .
Arterio refers to the arteries, which are the the blood vessels that take blood away from the heart, and venous refers to the veins, which carry blood toward the heart. Mal- means “badly”, so an arteriovenous malformation, or AVM, is some sort of “bad” or abnormal formation between the arteries and veins.
James E. Cimino (1928-11 February 2010 [1]) was a physician who specialized in palliative care.He is best known for his invention of the Cimino fistula and for his work as an administrator at Calvary Hospital into the Palliative Care Center it is today.
In the cases of veins or arteries, traumatic fistulas usually occur between artery and vein. Portacaval anastomosis , by contrast, is a veno-venous anastomosis between a vein of the portal circulation and a vein of the systemic circulation , which allows blood to bypass the liver in patients with portal hypertension , often resulting in ...