Table of Contents
What is a Radiocephalic fistula?
The radiocephalic fistula (Fig. 3) is a forearm fis- tula created by anastomosing the side of a ra- dial artery to the end of a cephalic vein. It is also referred to as the Brescia-Cimino fistula.
Which artery and vein is used for AV fistula?
Native (or autogenous) arteriovenous fistula (radial artery to basilic vein). These fistulae are typically fashioned to connect the radial artery to the cephalic vein, the brachial artery to the cephalic vein, or the brachial artery to a basilic vein.
Which vein is used for fistula?
The preferred distal AVF location is the radial-cephalic fistula, which is an anastomosis of the radial artery and the cephalic vein at the level of the wrist.
What is the most common complication of AV fistulas?
Heart failure. This is the most serious complication of large arteriovenous fistulas. Blood flows more quickly through an arteriovenous fistula than it does through typical blood vessels. The increased blood flow makes the heart pump harder. Over time, the strain on the heart can lead to heart failure.
What is a Cimino type fistula?
A Cimino fistula, also Cimino-Brescia fistula and arteriovenous fistula, is a type of vascular access for hemodialysis. It is a surgically created connection between an artery and a vein in the forearm.
Where is fistula placed?
The surgeon usually places an AV fistula in the forearm or upper arm. An AV fistula causes extra pressure and extra blood to flow into the vein, making it grow large and strong. The larger vein provides easy, reliable access to blood vessels.
How can I reduce swelling in my fistula?
To reduce the swelling, keep your arm up when you are resting or sitting. Put it on 2 pillows at the same level as your heart. Your arm may be cool and numb where the fistula or graft was put in. This lasts a few weeks and is normal.
How long is Fistulogram procedure?
The procedure itself will take approximately 30 minutes, and you should expect to spend about an hour in the x-ray department. You may be asked to stay in the facility for one to two hours to recover. During this time, your nurse will check your fistula or sinus area for any bleeding.
What is Scribner shunt?
The Scribner shunt (Quinton,Dillard, Cole, and Scribner, 1962) (Fig. 1) is an artificial arteriovenous fistula made of inert. plastic tubing which is used for repeated haemodialysis.
Who is Cimino?
Michael Cimino (/tʃɪˈmiːnoʊ/ chi-MEE-noh; February 3, 1939 – July 2, 2016) was an American filmmaker. He achieved fame as the director of The Deer Hunter (1978), which won five Academy Awards, including Best Picture and Best Director.
How long do dialysis fistulas last?
A fistula will usually last for many years. A fistula usually takes one to four months to “mature” or enlarge before it can be used. If you are already receiving hemodialysis using an AV graft or catheter, ask your doctor about the benefits of a fistula. An AV (artery- vein) graft is the second choice for an access.