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Indian J Nephrol 2018 Nov-Dec;28(6):421-426

Department of Orthopaedic, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.

Maturation of arteriovenous fistula (AVF) involves complex vascular remodeling. In this study, we evaluated the changes of skin microvascular perfusion over the extremity with AVF maturation using the laser Doppler fluximetry (LDF). A total of 45 patients with chronic kidney disease, Stages IV-V, were included; they had undergone AVF creation from July 2014 to June 2016 at our institute. Read More

Int Orthop 2019 Jan 14. Epub 2019 Jan 14.

Department of Orthopedics, Peking University Third Hospital, Beijing, 100191, People's Republic of China.

Purpose: To study the clinical and pathophysiologic characteristics and summarize the experience of treatment of abdominal vascular injury related to lumbar surgery.

Methods: We analyzed patients who suffered abdominal vascular injury during lumbar surgery in our hospital retrospectively and reviewed related literature in the PUBMED database from 2002 to 2017. Combined with the existing treatment options and outcomes, we investigated further and summarized our findings. Read More

Med J Islam Repub Iran 2018 25;32:62. Epub 2018 Jul 25.

Faculty of IT Management, Science and Research Branch, Islamic Azad University, Tehran, Iran.

The kidneys of patients with chronic kidney disease (CKD) do not function well enough and those in end-stage renal disease (ESRD) of CKD need hemodialysis (HD) as a common renal replacement therapy (RRT) procedure. HD requires a vascular access (VA), and arteriovenous fistula (AVF) is the common VA choice in the world due to its very few complications. Despite the widespread use of AVFs, some risk factors maximize AVF failure, which is accompanied by complications of the patient such as repeating VA surgeries and hospitalization. Read More

J Vasc Bras 2018 Jul-Sep;17(3):248-251

Hospital Saúde da Mulher - HSM, Departamento de Cirurgia Vascular e Endovascular, Belém, PA, Brasil.

A 47-year-old male police officer presented at an outpatients consulting room complaining of exertional dyspnea and swelling and pain in the right arm. He had suffered a perforating gunshot wound of the right infraclavicular region 7 months previously. A chest tomography showed considerable dilatation of the subclavian and cervical veins and veins of the right upper limb, with no clear point of arteriovenous communication. Read More

J Vasc Bras 2018 Jul-Sep;17(3):229-233

Centro Universitário do Estado do Pará (CESUPA), Belém, PA, Brasil.

An arteriovenous fistula (AVF) is an abnormal and permanent communication between an artery and a vein caused by penetrating traumas or iatrogenic injuries. A penetrating trauma to the endothelial wall can lead to formation of pseudoaneurysms (PSA) and to formation of an AVF. Here, the authors present the case of a patient with a complex AVF of popliteal vessels, associated with popliteal artery pseudoaneurysm, suggested by clinical features and imaging exams, and treated with conventional surgery due to unavailability of a stent graft with appropriate diameter and because endovascular surgery isn't provided at the service where this patient was operated. Read More

J Vasc Bras 2018 Jul-Sep;17(3):208-214

Faculdade de Medicina do ABC, Disciplina de Angiologia e Cirurgia Vascular, Santo André, SP, Brasil.

Background: Adequate flow through a newly created arteriovenous fistula depends on multiple characteristics of the vessels and patient comorbidities. Several studies have related preoperative findings to failure, but few have analyzed the influence of intraoperative findings.

Objectives: To evaluate the predictive value of intraoperative findings on the immediate outcome of radial-cephalic arteriovenous wrist fistulas (RCAVF) by collecting data that are easily measured intraoperatively. Read More

J Microbiol Immunol Infect 2019 Jan 4. Epub 2019 Jan 4.

Department of Pediatrics, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan. Electronic address:

Background/purpose: To compare the long-term outcomes and survival rates of patients with end stage renal disease (ESRD) caused by lupus nephritis who received three different modalities of renal replacement therapy, including hemodialysis (HD), peritoneal dialysis (PD), and kidney transplantation (KT).

Methods: We retrospectively analyzed 94 patients with ESRD caused by lupus nephritis. Among these, 42 received HD, 12 received PD, and 40 underwent KT. Read More

Am J Kidney Dis 2019 Jan 12. Epub 2019 Jan 12.

Division of Nephrology, Department of Medicine, London Health Sciences Centre, London; Division of Nephrology, Department of Medicine, University of Toronto, Toronto, Canada. Electronic address:

Rationale & Objective: Clinical practice guidelines discourage the use of central venous catheters (CVCs) for vascular access in dialysis. However, some patients have inadequate vessels for arteriovenous fistula creation or choose to use a dialysis catheter. The risks associated with CVC use and their relationship to patient age are poorly characterized. Read More

Zhonghua Yi Xue Za Zhi 2019 Jan;99(1):36-40

Department of Neurosurgery, Second Affiliated Hospital School of Medicine Zhejiang University, Hangzhou 310009, China.

To explore the efficacy and feasibility of the hemi-semilaminectomy microsurgical operation treatment of spinal dural arteriovenous fistula (SDAVF). The clinical data of 32 patients with SDAVF were analyzed retrospectively. Before operation all patients were diagnosed by spinal MRI and spinal angiography, 14 patients were treated by hemi-semilaminectomy approach and other 18 patients were by traditional laminectomy approach. Read More

World Neurosurg 2019 Jan 10. Epub 2019 Jan 10.

Department of Legal and Forensic Medicine, University of Genova, Via De Toni 12, Genova, 16132, Italy. Electronic address:

Background: An intracranial dural arteriovenous fistula (DAVF) consists of a meshwork of arteriovenous shunts. Drainage of the fistula may be into a dural sinus or directly into cortical veins. Rarely, DAVFs drain exclusively into perimedullary veins. Read More

Ann Vasc Dis 2018 Dec;11(4):473-478

Faculty of Medical Sciences, Anglia Ruskin University, Cambridge, UK.

The aim of this systematic review is to establish the efficacy of revision using distal inflow (RUDI) on the primary endpoints of complete dialysis access steal syndrome (DASS) resolution and arteriovenous fistula (AVF) longevity. An electronic search of literature from 1966 to 2017 in CINAHL, Medline, Embase and the Cochrane library according to PRISMA standards was conducted. Quality evaluations and recommendations for practice were examined. Read More

Reg Anesth Pain Med 2019 Jan 11. Epub 2019 Jan 11.

Department of Anesthesiology, Hospital Clínic, Barcelona, Spain

BMC Nephrol 2019 Jan 11;20(1):15. Epub 2019 Jan 11.

Department of Intervention, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.

Background: The case report is to evaluate the efficacy and safety of embolization of a high-output idiopathic renal arteriovenous fistula (IRAVF) with an atrial septal defect occluder (ASDO) via venous access.

Case Presentation: A 57-year-old male diagnosed with high-output IRAVF received embolization with an ASDO via renal venous access and compact occlusion with 3 vascular plugs and a detachable elastic coil. The IRAVF was successfully occluded. Read More

Acta Chir Belg 2019 Jan 11:1-7. Epub 2019 Jan 11.

d Department of Vascular Surgery , University Hospitals Leuven, Leuven , Belgium.

Objectives: To report our experience of angioplasty with Lutonix (Bard Peripheral Vascular, Inc., Tempe, AZ) drug-coated balloon (DCB) for the treatment of failing arteriovenous fistulas (AVF).

Materials And Methods: Retrospective, single-center analysis consisting of 14 patients treated with Lutonix paclitaxel DCBs in the period from July 2015 through April 2017. Read More

Medicine (Baltimore) 2019 Jan;98(2):e13922

Department of Cardiology, West China Hospital, Sichuan University, Chengdu.

Rationale: Complex pulmonary arteriovenous fistula (PAVF) is unusual, and even rarer in 2 members of a family. PAVF may not appear on chest X-ray or computed tomography imaging, especially in asymptomatic patients, and therapy is limited. Herein, PAVFs occurring in a mother and daughter are described, with the current standard methods of diagnosis and treatment of PAVF. Read More

Eur Heart J Cardiovasc Imaging 2019 Jan 9. Epub 2019 Jan 9.

Department of Cardiovascular Medicine, Graduate School of Medicine, The University of Tokyo, Hongo 7-3-1, Bunkyo-ku, Tokyo, Japan.

Pol J Radiol 2018 9;83:e189-e196. Epub 2018 May 9.

Department of Interventional Radiology and Neuroradiology, Medical University of Lublin, Poland.

Purpose: To assess the immediate efficacy of distinct embolisation devices in the endovascular treatment of pulmonary arteriovenous malformations as well as to identify and analyse the possible determinants of the technical success of the procedure.

Material And Methods: Prospective analysis of 16 consecutive patients was carried out, who underwent transcatheter endovascular embolisation therapy for pulmonary arteriovenous malformations between 2005 and 2017. Pre- and post-procedural angiography studies were implemented to confirm the diagnosis and to evaluate the technical success defined as the complete occlusion of the feeding artery. Read More

J Bras Nefrol 2018 Dec 17. Epub 2018 Dec 17.

Fundação Pro-Renal Brasil, Curitiba, PR, Brasil.

Neth Heart J 2019 Jan 8. Epub 2019 Jan 8.

Faculty of Medicine, Alexandria University, Alexandria, Egypt.

J Vasc Access 2019 Jan 8:1129729818820205. Epub 2019 Jan 8.

1 Department of Vascular Surgery, "Democritus" University of Thrace, University General Hospital of Alexandroupolis, Alexandroupolis, Greece.

Increased blood flow in the subclavian artery feeding a vascular access for hemodialysis can rarely induce steal phenomena in the vertebral and internal mammary artery leading to potentially life-threatening conditions. On the contrary, transient interruption of blood flow in the subclavian artery feeding a dialysis arteriovenous fistula can theoretically induce access thrombosis. Here, we describe a technical maneuver preserving continuous ipsilateral upper arm access flow when constructing a unilateral axillo-femoral polytetrafluoroethylene bypass operation for critical limb ischemia in a hemodialysis patient. Read More

J Vasc Access 2019 Jan 8:1129729818821620. Epub 2019 Jan 8.

1 Department of Nephrology, Baotou Central Hospital, Baotou, China.

Aim:: The aim of this study was to assess the accuracy of post-operative ultrasound examination for predicting wrist radio-cephalic arteriovenous fistula maturity.

Methods:: All radio-cephalic arteriovenous fistulas performed in our hospital between October 2015 and December 2017 were included in this study. Ultrasound examination of radio-cephalic arteriovenous fistulas was performed 2 weeks post-surgery. Read More

World Neurosurg 2019 Jan 4. Epub 2019 Jan 4.

Department of Neurosurgery, Icahn School of Medicine ,Mount Sinai Health Care System, New York, New York,USA.

Introduction: Management of vascular malformations requires microcatheter manipulation through distal tortuous arterial feeders less than a millimetre in diameter, to permit safe and effective embolization at the fistula or nidus location. The Asahi Chikai 0.008 inch micro-guidewire recently introduced in the United States was used to evaluate microcatheter torque, support and safety in distal microcatheter navigation. Read More

Neurosurg Focus 2019 Jan;46(Suppl_1):V7

Arteriovenous fistulae of the internal maxillary artery are exceedingly rare, with less than 30 cases reported in the literature. Most of these lesions are congenital, iatrogenic, or posttraumatic. The most common presentation of internal maxillary artery fistulae is pulsatile tinnitus and headache. Read More

Neurosurg Focus 2019 Jan;46(Suppl_1):V6

Departments of1Neurosurgery and.

J Neurosurg Pediatr 2019 Jan 4:1-5. Epub 2019 Jan 4.

3Neurointerventional Radiology, Boston Children's Hospital, Boston, Massachusetts.

Pediatric hydrocephalus is a well-studied and still incompletely understood entity. One of the physiological means by which hydrocephalus and intracranial hypertension evolve is through perturbations to normal vascular dynamics. Here the authors report a unique case of an extracranial vascular anomaly resulting in persistently elevated intracranial pressures (ICPs) independent of CSF diversion in a patient with a Joubert syndrome-related disorder. Read More

J Neurosurg 2019 Jan 4:1-8. Epub 2019 Jan 4.

2Department of Neurological Surgery, University of Virginia, Charlottesville, Virginia.

OBJECTIVEIn this multicenter study, the authors reviewed the results obtained in patients who underwent Gamma Knife radiosurgery (GKRS) for dural arteriovenous fistulas (dAVFs) and determined predictors of outcome.METHODSData from a cohort of 114 patients who underwent GKRS for cerebral dAVFs were compiled from the International Gamma Knife Research Foundation. Favorable outcome was defined as dAVF obliteration and no posttreatment hemorrhage or permanent symptomatic radiation-induced complications. Read More

J Vasc Access 2019 Jan 4:1129729818820206. Epub 2019 Jan 4.

2 Department of Cardiovascular Surgery, Memorial Hizmet Hospital, Istanbul, Turkey.

Close hemodynamic monitoring is crucial for the patients to guide cardiovascular therapy for the optimal management. Transpulmonary thermodilution offers a less invasive hemodynamic monitoring with Pulse Index Continuous Cardiac Output system analysis. Intracardiac shunts have been associated with well-defined alterations in transpulmonary thermodilution-related hemodynamic parameters leading to inaccurate measurements and therefore are among the contraindications for transpulmonary thermodilution. Read More

Kidney Int 2019 Jan;95(1):38-49

Division of Nephrology, University Health Network, Toronto, Ontario, Canada; Department of Medicine, University of Toronto, Toronto, Ontario, Canada. Electronic address:

Choosing the optimal hemodialysis vascular access for the elderly patient is best achieved by a patient-centered coordinated multidisciplinary team approach that aligns the patient's end-stage kidney disease Life-Plan, i.e., the individual treatment approach (supportive care, time-limited or long-term kidney replacement therapy, or combination thereof) and selection of dialysis modality (peritoneal dialysis versus hemodialysis) with the most suitable dialysis access. Read More

J Nephrol 2019 Jan 2. Epub 2019 Jan 2.

University of California San Diego, San Diego, CA, USA.

Prior studies have shown that beginning hemodialysis (HD) with a hemodialysis catheter (HC) is associated with worse mortality than with an arteriovenous fistula (AVF) or arteriovenous graft (AVG). We hypothesized that transplant waitlisting would modify the effect of HD access on mortality, given waitlist candidates' more robust health status. Using the US Renal Data System, we studied patients with incident ESRD who initiated HD between 2010 and 2015 with an AVF, AVG, or HC. Read More

Cardiovasc Intervent Radiol 2019 Jan 2. Epub 2019 Jan 2.

Department of Radiology, Division of Vascular and Interventional Radiology, University of California at Los Angeles, 757 Westwood Plaza, Los Angeles, CA, 90095, USA.

Purpose: To report technical success and clinical outcomes of transfemoral venous access for upper extremity dialysis interventions.

Materials And Methods: A total of 15 patients underwent a transfemoral venous approach for fistulography (n = 4; 27%) or thrombectomy (n = 11; 73%) over a 14-month period. Access characteristics, sheath size, thrombectomy method, angioplasty site, fluoroscopy time, radiation dose, technical and clinical success, complications, and post-intervention primary and secondary patency rates were recorded. Read More

J Vasc Access 2018 Dec 31:1129729818771883. Epub 2018 Dec 31.

Hemodialysis Department, Bach Mai Hospital, Hanoi, Vietnam.

A well-functioning vascular access is a mainstay to perform an efficient hemodialysis procedure, which directly affects the quality of life in hemodialysis patients. We use three main types of access: native arteriovenous fistula, arteriovenous graft, and central venous catheter. Arteriovenous fistula remains the first and best choice for chronic hemodialysis. Read More

Kidney Int Rep 2019 Jan 1;4(1):126-138. Epub 2018 Oct 1.

Department of Clinical Gene Therapy, Osaka University Graduate School of Medicine, Osaka, Japan.

Introduction: New treatments to inhibit neointimal formation after percutaneous transluminal angioplasty (PTA) are needed for patients undergoing chronic hemodialysis (HD). We compared the efficacy and safety of AMG0102, a balloon catheter containing nuclear factor κB (NF-κB) decoy oligodeoxynucleotide (ODN) with the PTA balloon catheter (control group) for arteriovenous fistula (AVF) stenosis.

Methods: In total, 175 patients (age ≥20 years, undergoing HD, with venous stenosis at the anastomotic region) were registered in this prospective open-label, randomized study. Read More

Egypt Heart J 2018 Dec 16;70(4):337-341. Epub 2018 Nov 16.

Nephrology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Background: Vascular access for hemodialysis (HD) with an inappropriately high flow may underlie the onset of high output heart failure (HOHF).The aim of this study was to determine the prevalence of high flow access (HFA) in chronic HD patients, and to determine its effects on cardiac functions.

Methods: This cross sectional study was conducted on 100 chronic hemodialysis patients through arteriovenous fistula (AVF). Read More

J Neurol Sci 2018 Dec 18;397:50-54. Epub 2018 Dec 18.

Department of Diagnostic and Interventional Neuroradiology, University Hospital Aachen, Pauwelsstr. 30, 52074 Aachen, Germany. Electronic address:

Background: Spinal dural arteriovenous fistulas (sdAVF) with rapid deterioration are a known clinical phenomenon but have been rarely reported in the past. Clinical and radiologic features of these fistulas are analyzed for this study.

Material And Methods: We retrospectively reviewed our medical records for sdAVF patients who were treated in our center between 2006 and 2017. Read More

Saudi J Kidney Dis Transpl 2018 Nov-Dec;29(6):1350-1357

Katz Family Division of Nephrology and Hypertension, Leonard M. Miller School of Medicine, University of Miami, Miami, FL, USA.

Arteriovenous fistula (AVF) remodeling is an active area of research in vascular biology given the high rates of primary failure, complications, and cost burden for the health-care system. Comorbidities such as diabetes and different types of vascular disease are known to influence AVFs outcomes. However, little is known about the effects of immunosuppression, particularly human immunodeficiency virus (HIV) infection, on AVF primary failure and patency. Read More

Saudi J Kidney Dis Transpl 2018 Nov-Dec;29(6):1280-1289

DeWitt Daughtry Family Department of Surgery, Leonard M. Miller School of Medicine, University of Miami, Miami, FL, USA.

Left ventricular hypertrophy (LVH) is a multifactorial complication frequently seen in patients with advanced chronic kidney disease. An arteriovenous fistula (AVF) is the preferred method for hemodialysis access. Once functional, AVFs demonstrate better patency rates and fewer complications when compared to other forms of vascular access. Read More

Pediatr Nephrol 2018 Dec 26. Epub 2018 Dec 26.

Department of Pediatric Nephrology, University Children's Hospital, Heidelberg, Germany.

Background: Current guidelines advocate use of arteriovenous fistula (AVF) over central venous catheter (CVC) for children starting hemodialysis (HD). European data on current practice, determinants of access choice and switches, patient survival, and access to transplantation are limited.

Methods: We included incident patients from 18 European countries who started HD from 2000 to 2013 for whom vascular access type was reported to the ESPN/ERA-EDTA Registry. Read More

Korean J Thorac Cardiovasc Surg 2018 Dec 5;51(6):406-409. Epub 2018 Dec 5.

Department of Thoracic and Cardiovascular Surgery, Inje University Haeundae Paik Hospital, Inje University College of Medicine.

Aortocaval fistula (ACF) occurs in <1% of all abdominal aortic aneurysms (AAAs), and in 3% to 7% of all ruptured AAAs. The triad of clinical findings of AAA with ACF are abdominal pain, abdominal machinery bruit, and a pulsating abdominal mass. Other findings include pelvic venous hypertension (hematuria, oliguria, scrotal edema), lower-limb edema with or without arterial insufficiency or venous thrombus, shock, congestive heart failure, and cardiac arrest. Read More

Int J Med Sci 2018 20;15(14):1600-1610. Epub 2018 Oct 20.

Department of Neurosurgery, The First Hospital of Jilin University, Changchun, 130021, China.

Most intracranial dural arteriovenous fistulae (DAVFs) involve the transverse-sigmoid sinus (TSS), and various types of endovascular treatment (EVT) have been involved in managing TSS DAVFs. A current, comprehensive review of the EVT of TSS DAVFs is lacking. This study used the PubMed database to perform a literature review on TSS DAVFs to increase the current understanding of this condition. Read More

BMC Nephrol 2018 Dec 27;19(1):376. Epub 2018 Dec 27.

Department of Gynaecology and obstetrics, The First Affiliated Hospital of Sun Yat-sen University, Huangpu East Road No. 183, Huangpu District, Guangzhou, 510700, China.

Background: To assess the time to first on-study vascular thromboembolic events (VTEs) of clopidogrel (CL) or beraprost sodium (BPS) in Chinese population with end-stage renal disease (ESRD) treated with arteriovenous fistula (AVF) surgery.

Methods: From Jan 2009 to May 2015, 346 ESRD cases suffering an AVF surgery and undergoing oral administration of 75 mg CL (initial dose of 300 mg), 1 time/day, for 4 weeks or 40 μg BPS, 3 times/day, for 4 weeks were retrospectively assessed. The primary outcome was time to first on-study VTE. Read More

J Am Heart Assoc 2019 Jan;8(1):e011211

1 Department of Cardiovascular Surgery Union Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan China.

Background The arteriovenous fistula ( AVF ) is the preferred hemodialysis access for patients with chronic kidney disease. Chronic kidney disease can increase neointima formation, which greatly contributes to AVF failure by an unknown mechanism. Our study aimed to determine the role of nucleotide-binding oligomerization domain-like receptor protein 3 ( NLRP 3) in neointima formation induced by experimental AVF s in the presence of chronic kidney disease. Read More

Circulation 2018 Oct 2. Epub 2018 Oct 2.

Medicine and Pharmacology, Yale University, UNITED STATES.

Background: Vascular smooth muscle cells (SMC) synthesize extracellular matrix (ECM) that contributes to tissue remodeling following revascularization interventions. The cytokine transforming growth factor-β (TGF-β) is induced upon tissue injury and regulates tissue remodeling and wound healing, but dysregulated signaling results in excess ECM deposition and fibrosis. The LIM domain protein LMO7 is a TGF-β target gene in hepatoma cells, but its role in vascular physiology and fibrosis is unknown. Read More

J Vasc Access 2018 Dec 26:1129729818819735. Epub 2018 Dec 26.

1 Department of Renal Medicine, Singapore General Hospital, Singapore.

Background:: Percutaneous pharmacomechanical thrombolysis is increasingly used to salvage thrombosed hemodialysis access. We aim to evaluate the effectiveness of alteplase compared to urokinase in percutaneous pharmacomechanical thrombolysis clotted access.

Methods:: Records of patients who underwent pharmacomechanical thrombolysis at Interventional Nephrology Suite in a tertiary teaching hospital from 1 January 2016 to 31 December 2016 were reviewed. Read More

Int J Nephrol 2018 18;2018:2872381. Epub 2018 Nov 18.

Renal Therapy Service (RTS), Bogotá 110221, Colombia.

Background: Acid-base disorders have been previously described in patients with chronic hemodialysis, with metabolic acidosis being the most important of them; however, little is known about the potential changes in acid-base status of patients on dialysis living at high altitudes.

Methods: Cross-sectional study including 93 patients receiving chronic hemodialysis on alternate days and living in Bogotá, Colombia, at an elevation of 2,640 meters (8,661 feet) over sea level (m.o. Read More

World Neurosurg 2018 Dec 20. Epub 2018 Dec 20.

Department of Spine Surgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China. Electronic address:

Neurofibromatosis type 1(NF-1) is an autosomal dominant disease caused by mutation on chromosome 17, which affects skin, vascular system, nervous system and skeleton system. Arteriovenous fistula (AVF) is one of the recognized complications of NF-1. We report a case of a 33-year-old woman with NF-1 with cervical spine arteriovenous fistula inside cervical spinal canal presented with progressive spinal cord compression which was abnormal. Read More

Am J Surg 2018 Dec 14. Epub 2018 Dec 14.

Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD, USA. Electronic address:

Background: Duplex ultrasound vein mapping (DUVM) may increase autogenous dialysis access procedures but has not been universally adopted by surgeons.

Methods: We determined reliability and accuracy of arm vein measurements on physical examination (PE) and DUVM, compared to direct measurements in the operating room (OR, gold standard). Operative plans were developed from each set of measurements and we evaluated which approach identified more options for autogenous procedures. Read More

BMC Infect Dis 2018 Dec 20;18(1):688. Epub 2018 Dec 20.

Department of Medicine, Zealand University Hospital, Roskilde, Denmark.

Background: The mortality following blood stream infection (BSI) and risk of subsequent BSI in relation to dialysis modality, vascular access, and other potential risk factors has received relatively little attention. Consequently, we assessed these matters in a retrospective cohort study, by use of the Danish nation-wide registries.

Methods: Patients more than 17 years of age, who initiated dialysis between 1. Read More

Int J Surg Case Rep 2018 Dec 12;54:95-98. Epub 2018 Dec 12.

Division of Nephrology, Department of Internal Medicine, Saga University, Faculty of Medicine, 5-1-1 Nabeshima, Saga, 849-8501, Japan.

Introduction: Vascular access intervention therapy (VAIVT) is an essential interventional therapy in the field of hemodialysis therapy that allows for the long-term vascular access functionality to be maintained. The venous approach is often performed in VAIVT for arteriovenous fistula. When lesions are present on the upstream and downstream sides from the approach site, it is likely that two sheaths will be inserted from two facing punctures. Read More

Stroke 2018 Dec;49(12):e332-e334

From the Department of Neurosciences (P.M.C., M.M.C., K.M., J.N.L.), University of California, San Diego.

J Am Heart Assoc 2018 Nov;7(21):e009514

1 Department of Physiology and Functional Genomics College of Medicine University of Florida Gainesville FL.

Background Hereditary hemorrhagic telangiectasia ( HHT ) is a rare genetic vascular disorder caused by mutations in endoglin ( ENG ), activin receptor-like kinase 1 ( ACVRL 1; ALK 1), or SMAD 4. Major clinical symptoms of HHT are arteriovenous malformations ( AVM s) found in the brain, lungs, visceral organs, and mucosal surface. Animal models harboring mutations in Eng or Alk1 recapitulate all of these HHT clinical symptoms and have been useful resources for studying mechanisms and testing potential drugs. Read More