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Cimino Fistula
A Cimino fistula, also Cimino-Brescia fistula, surgically created arteriovenous fistula and (less precisely) arteriovenous fistula (often abbreviated AV fistula or AVF), is a type of vascular access for hemodialysis. It is typically a surgically created connection between an artery and a vein in the arm, although there have been acquired arteriovenous fistulas which do not in fact demonstrate connection to an artery. Structure The radiocephalic arteriovenous fistula (RC-AVF) is a shortcut created between cephalic vein and radial artery at the wrist. It is the recommended first choice for hemodialysis access. However, after a period of usage, failures can occur. Possible causes for failure are stenosis and thrombosis especially in diabetics and those with low blood flow such as due to narrow vessels, arteriosclerosis and advanced age. Reported patency of fistulae after 1 year is about 60%, when primary failures were included. Juxa-anastomotic site (venous segment that is between ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
James Cimino
James E. Cimino (1928-11 February 2010) 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. Dr. Cimino went to New York University School of Medicine and did his internal medicine residency at the University of Buffalo followed by a fellowship in physiology. He then moved back to the Bronx to work at the Bronx Veterans Administration Medical Center where he started a program on dialysis. He developed techniques for employing Arteriovenous fistula in patients with chronic kidney failure Kidney failure, also known as end-stage kidney disease, is a medical condition in which the kidneys can no longer adequately filter waste products from the blood, functioning at less than 15% of normal levels. Kidney failure is classified as eit ..., which led to a presentation in 1966 at the convention of the American Society for Artif ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Chronic Renal Failure
Chronic kidney disease (CKD) is a type of kidney disease in which a gradual loss of kidney function occurs over a period of months to years. Initially generally no symptoms are seen, but later symptoms may include leg swelling, feeling tired, vomiting, loss of appetite, and confusion. Complications can relate to hormonal dysfunction of the kidneys and include (in chronological order) high blood pressure (often related to activation of the renin–angiotensin system system), bone disease, and anemia. Additionally CKD patients have markedly increased cardiovascular complications with increased risks of death and hospitalization. Causes of chronic kidney disease include diabetes, high blood pressure, glomerulonephritis, and polycystic kidney disease. Risk factors include a family history of chronic kidney disease. Diagnosis is by blood tests to measure the estimated glomerular filtration rate (eGFR), and a urine test to measure albumin. Ultrasound or kidney biopsy may be performed to ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
