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  • Open Access

    ARTICLE

    Computational Study of Anastomosis Angle of Arteriovenous Fistula for Hemodialysis

    Suraj Shembekar*, Dhananjay Zodpe, Pramod Padole

    Molecular & Cellular Biomechanics, Vol.19, No.4, pp. 165-175, 2022, DOI:10.32604/mcb.2022.021513 - 27 December 2022

    Abstract Arteriovenous fistula (AVF) is the endorsed method of vascular access for hemodialysis in end-stage renal disease (ESRD). However, more than 60% of AVF fail to mature for hemodialysis. Intimal hyperplasia leads to stenosis is the primary cause of fistula failure. Wall shear stress (WSS) is one of the important parameters that enact a crucial role in building of intimal hyperplasia. The prime purpose of this research work is to investigate the effect of anastomosis angle on WSS, pressure drop, venous outflow rate and identify the optimal angle of anastomosis of AVF, so that it helps… More >

  • Open Access

    ARTICLE

    Arteriovenous fistula creation for hypoxia after single ventricle palliation: A single‐institution experience and literature review

    Andrew D. Spearman1, Steven J. Kindel1, Ronald K. Woods2, Salil Ginde1,3

    Congenital Heart Disease, Vol.14, No.6, pp. 1199-1206, 2019, DOI:10.1111/chd.12828

    Abstract Background: Hypoxia is a common and sometimes severe morbidity of single ven‐ tricle congenital heart disease (CHD). Creation of an arteriovenous fistula (AVF) is occasionally performed for patients after superior or total cavopulmonary connec‐ tion (SCPC or TCPC) in an attempt to improve oxygen saturations. Despite previ‐ ous reports, AVF creation is a rare palliation with inadequately defined benefits and risks. We sought to determine changes in peripheral oxygen saturation (SpO2) and risk of adverse event after AVF creation in children with single ventricle CHD at our institution.
    Methods: We conducted a retrospective chart review of patients… More >

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