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

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<strong>AVF</strong> Complication:Stenosis – Management with AngioplastyShort vascular sheath insertedGuidewire advanced into fistulaNormal vein proximal to stenosis or distal topost-stenotic dilatation measuredAngioplasty balloons inflated for ~ 20 – 30 secondsBalloon removed & another angiogram performedIf residual stenosis > 30%, angioplasty repeated with larger balloon117
Fistulogram with Mapping NotesRecommend venousbuttonhole site, just belowor in front of aneurysmhump.Recommend potential arterialbuttonhole sites. Try to avoidgoing through scar tissue.118
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
Page 21 and 22: AVF Needling:It Doesn’t Have to b
Page 23 and 24: AVF Needling:Cannulation Trouble-sh
Page 25 and 26: AVF Complications• Stenosis, incl
Page 27 and 28: Chart review reveals:AVF Complicati
Page 29 and 30: AVF Complication: JASRC anastamosis
Page 31 and 32: AVF Complication: JASJASBC AVFJAS98
Page 33 and 34: AVF Complication: StenosisWhy are s
Page 35 and 36: AVF Complication: StenosisHow will
Page 37 and 38: AVF Complication: StenosisHow will
Page 39 and 40: AVF Complication: StenosisParameter
Page 41 and 42: AVF Complication: ??Same arm: 2 nd
Page 43 and 44: AVF Complication: StenosisAreas of
Page 45 and 46: Stenosis in Basilic Vein BetweenAne
Page 47 and 48: AVF Complication: Stenosis inRadioc
Page 49: AVF Complication:Stenosis - Managem
Page 53 and 54: Pre- & Post-angioplasty of Severe S
Page 55 and 56: AVF Complication:InfiltrationEvery
Page 57 and 58: AVF Complication: InfiltrationThe p
Page 59 and 60: AVF Complication: Needle Infiltrati
Page 61 and 62: AVF Complication: Needle Infiltrati
Page 63 and 64: AVF Complication: Back Blow Infiltr
Page 65 and 66: AVF Complication: InfectionWhat do
Page 67 and 68: AVF Complication: InfectionWhat mig
Page 69 and 70: AVF Complication: InfectionWhat to
Page 71 and 72: AVF Complication:Buttonhole Infecti
Page 73 and 74: AVF Complications: Case StudyMr. Kl
Page 75 and 76: AVF Complication: Aneurysm142
Page 77 and 78: AVF Complication: SpontaneousRuptur
Page 79 and 80: AVF Complication: Skin BreakdownAvo
Page 81 and 82: AVF Complications• Needling diffi
Page 83 and 84: AVF Complication:What could of caus
Page 85 and 86: Case Study: Access MonitoringState
Page 87: Case Study: Access MonitoringState

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

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