Vascular Access Module #3: AVF Maturation ... - BC Renal Agency

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AVF Complication: StenosisWhere will you needle & why?Stenosis:– Venous: Above stenosis to prevent increased venous pressure– Arterial: Away from or retrograde to stenosis to prevent inadequate flowproblemsWhat pressures would you expect to see from your choices?Regular outflow vein stenosis: pressures will depend on where needles areplaced:– Arterial needle BELOW stenosis – more positive arterial pressures– Arterial needle ABOVE stenosis – more negative arterial pressures– Venous needle BELOW stenosis – more positive venous pressures– Venous needle ABOVE stenosis – normal venous pressures115
AVF Complication:Stenosis - Management with Angioplasty• Venous stenosis does not respond as well toangioplasty as arterial stenosis• Guidelines recommend treatment ofstenosis ≥ 50% reduction of normal vesseldiameter accompanied by hemodynamic,functional or clinical abnormalityJindal K, et al. J Am Soc Nephrol 2006;17:S16-23;National Kidney Foundation. KDOQI Clinical Practice Guidelines & Clinical Practice Recommendations 2006Updates: Vascular Access. Am J Kidney Dis 2006;48(suppl 1):S1-S322.116
Page 1 and 2: Module #3:AVF Maturation, Needling
Page 3 and 4: AVF MaturationAVF maturation = proc
Page 5 and 6: AVF Maturation2. How do we know if
Page 7 and 8: AVF Maturation3. What are the tools
Page 9 and 10: AVF Needling: Case StudyReturning t
Page 11 and 12: AVF NeedlingHow will you prepare th
Page 13 and 14: Is This an Easy Access to Needle?Br
Page 15 and 16: AVF Needling: Vein MappingResult: M
Page 17 and 18: AVF Needling: Watchful Eyes• “S
Page 19 and 20: AVF Needling: Using a Teflon Needle
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Page 73 and 74: AVF Complications: Case StudyMr. Kl
Page 75 and 76: AVF Complication: Aneurysm142
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Vascular Access Module #3: AVF Maturation ... - BC Renal Agency

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