- Start from the end, if unsuccessful, go up. The most suitable is the Snuff Box Snuff Zone. Then the wrist and elbow area is used.
- Unfortunately, patients who do not have enough vessels or who have many fistulas and do not work, have to make fistulas with artificial vessels. Since these grafts are used frequently, they cause distress to patients due to both infection and clotting problems.
-The current technique is the fistula made using the patient's own vessels.
- Sometimes the vein becomes very enlarged and changes due to venous hypertension are seen. In this case, the fistula can be closed due to the development of a clot and the decrease in the flow of the artery.
- Unfortunately, patients who do not have enough vessels or who have many fistulas and who do not work, have to make fistulas with artificial veins. Since these grafts are used frequently, they cause distress to patients due to both infection and clotting problems.
- The possibility of infection and blockage is high. The artificial vein of the graft is difficult to maintain.
- It gives better results than the use of the patient's own veins.
- When the fistula starts to work, put it on your finger When you put it on, a buzzing or ringing is felt, which is an indication that the fistula is working.
- It is important to care for the fistula after surgery. Dialysis centers in our country direct patients in this regard.
· Check whether the fistula is working, do not carry heavy objects, do not sleep on it, do not have blood pressure measured on the side with fistula.
· Sometimes, when the fistula is very developed, it can cause pain and discoloration, especially in the lower part. For this reason, fistulas that move upwards and unilaterally, not bilaterally, are generally opened today. The veins can sometimes become very dilated. In this case, if enough blood thinners are not used or there may be a clot in the fistula due to low flow.
· In this case, the flow decreases and the dialysis machine does not work effectively, as a result, the clot in the fistula needs to be cleaned.
Fistula Doppler ultrasound is sufficient. It can be demonstrated by angiography. Contrast (dye) material is used in angiography. The dye is also excreted by the kidneys. Sometimes this substance can predispose patients to heart failure and pulmonary edema. You need to pay attention. May need hemodialysis.
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