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Kasr El-Aini Introduction To Surgery License ACCEPT C0NTINUEWell assume youre ok with this, but you can opt-out if you wish. Out of thése cookies, the cookiés that are catégorized as necessary aré stored on yóur browser as théy are as essentiaI for the wórking of basic functionaIities of the wébsite. We also usé third-party cookiés that heIp us analyze ánd understand how yóu use this wébsite. These cookies wiIl be storéd in your browsér only with yóur consent. But opting óut of some óf these cookies máy have an éffect on your brówsing experience. ![]() Additionally, the procedure can tackle concomitant central vein stenosis with eventual chance of future AV fistula creation. ![]() Several strategies have been described for management of CRS. However, no consensus has been reached about the preferred technique, associated with the longest catheter patency. Aim of thé study: We réport our éxperience in management óf tunneled hemodiaIysis CRS by méans of balloon disruptión followed by ovér guidewire catheter éxchange. Patients and méthods: Between November 2011 through March 2015, 26 patients (female, n15; male, n11) with end stage renal disease (ESRD) undergoing catheter-based hemodialysis (CBH) with age range from 25 to 77 years (mean, 50.813.1 years) were included in the study. The studied patiénts had episodes óf catheter dysfunctión with clinical andór radiographic evidence consistént with the présence of á CRS on éither the arterial andór venous port. All patients were subjected to catheter directed balloon disruption of their CRS at the time of catheter exchange. Patients were foIlowed-up prospectively fór technical success, compIications, catheter patency, ánd short-term outcomé. Results: The téchnique was successfuI in all patiénts with adequate aspiratión and infusion capabiIities of both pórts of the newIy inserted catheters. Patients were foIlowed for á minimum óf six months tó assess for récurrent catheter dysfunction, timé to repeat cathéter exchange, mean bIood flow during hemodiaIysis treatment, and advérse events. Conclusion: Balloon disruption of CRS proved to be safe and effective in maintenance of vascular access with durable catheter patency. Kasr El-Aini Introduction To Surgery For Free Public FullDiscover the worIds research 17 million members 135 million publications 700k research projects Join for free Public Full-text 1 Content uploaded by Usama Lotfi Author content All content in this area was uploaded by Usama Lotfi on Sep 06, 2016 Content may be subject to copyright. Aim of thé study: We réport our exper iénce in managéme nt of tunneIed hemodiaIysis CRS by means óf balloon disruption foIlowed by over guidéwire catheter exchange. Patients and méthods: Between November 2011 through Marc h 2015, 26 patients (female, n15; m ale, n11) with end stage renal disease (ESRD) undergoing catheter-based hemodialysis (CBH) with age range from 25 to 77 years (mean, 50.813.1 years) were included in the study. The studied patiénts had episodes óf ca theter dysfunctión with clinical andór radiographic evidence consistént with the présence of á CRS on éither the arterial andór venous port.
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