I Hate Dialysis Message Board

Dialysis Discussion => Dialysis: General Discussion => Topic started by: Rain on November 13, 2012, 05:25:57 AM

Title: lost my fistula yesterday
Post by: Rain on November 13, 2012, 05:25:57 AM
my fistula c,otted lsst night.  waiting to get a line in.
Title: Re: lost my fistula yesterday
Post by: Grumpy-1 on November 13, 2012, 05:35:14 AM
They going to be able to re-open it?
Title: Re: lost my fistula yesterday
Post by: Rerun on November 13, 2012, 07:54:52 AM
I hope they can get in there and fix it.      :pray;
Title: Re: lost my fistula yesterday
Post by: Rain on November 13, 2012, 08:46:50 AM
They can't fix it .. the doctor took a look at it..

Tomorrow i am getting a chest catheter in and then waiting to see the surgeon to get another fisula or graft..

Please keep me in your prayers since I need to get another fistula..
Title: Re: lost my fistula yesterday
Post by: Cordelia on November 13, 2012, 09:08:06 AM
Oh, no, Rain, I'm so sorry to hear this.         :(         

You are in my thoughts and prayers hoping that everything goes ok.       :grouphug;         Please keep us posted.         :grouphug;
Title: Re: lost my fistula yesterday
Post by: MomoMcSleepy on November 13, 2012, 10:56:22 AM
I'm so sorry, Rain, that's awful.  I hope everything goes well from here on out.  Take care, and we'll be praying for you. 
 :(
Title: Re: lost my fistula yesterday
Post by: Rain on November 13, 2012, 12:23:18 PM
Has anyone ever had multiple fistulas?   I just don't want to a graft..
Title: Re: lost my fistula yesterday
Post by: BobN on November 13, 2012, 01:43:44 PM
Rain, I'm working on my second fistula and it has held up well for over six years.

Choose your vascular surgeon carefully.  The quality of the operation will go a long way toward determining the successful functioning of the vessel.  Ask your neph who he/she recommends.

Thoughts and prayers your way.
Title: Re: lost my fistula yesterday
Post by: newgrl on November 13, 2012, 03:22:06 PM
Has anyone ever had multiple fistulas?   I just don't want to a graft..

Rain,

I have had two fistulas that clotted.  The first was in my left lower arm.  And the second was in my left upper arm.  I could have tried again for a fistula but I did not want to move to my right (dominate) arm.  So I chose the graft because they were able to put it in my left upper arm.  I have been told that the graft won't last as long as a fistula would.  But I am really trying to get a transplant so I am hoping this graft will last me long enough.  Why do you want to avoid the graft?

NewGrl
Title: Re: lost my fistula yesterday
Post by: kitkatz on November 13, 2012, 08:48:22 PM
I hate access problems.  Bane of our existence.  Good luck with all of it.
Title: Re: lost my fistula yesterday
Post by: Rain on November 14, 2012, 04:15:51 AM
The reason I don't want a graft is my mom had 4 and I saw her get infections in each one.  I know every case is different but still.
Title: Re: lost my fistula yesterday
Post by: MaryJoe on November 14, 2012, 06:05:40 AM
rain - I understand your concern about getting a graft in light of what happened toyour mom.  I hope you are able to get another another fistula soon.  Try not to worry (easy for me to say!)   :cuddle;
Title: Re: lost my fistula yesterday
Post by: dharam85 on November 14, 2012, 06:27:12 AM
y not consider a permanent catherer  a permenant catherer has less chance of infection and u wont need 2 stick needles anymore
Title: Re: lost my fistula yesterday
Post by: Rain on November 14, 2012, 07:13:33 AM
i do not want a catheter I will  get temporary one but not permanent since I like swimming and other activities.  I just started training for a mini triathlon and I guess i have to take a break from that for awhile.
Title: Re: lost my fistula yesterday
Post by: dharam85 on November 14, 2012, 09:02:12 AM
can one tell me wht are pros or cons of permanent catherer actually my doc had said tht which they way they put permanent catherer chances of  infection is very negligable
Title: Re: lost my fistula yesterday
Post by: dharam85 on November 14, 2012, 09:05:55 AM
one more request i wanted 2 know chances of a person surviving on dialysis
my mom had a sucuessful transplant which lasted for 15 years last year she had a stone operation doc changed her medicines n forgot 2 mention an imp kidney medicine  which has resulted in kidney damaged and she again needs dialysis chances of geeting a new kidney seems diff as of now it might take 4-5 years 2 get one
Title: Re: lost my fistula yesterday
Post by: MooseMom on November 14, 2012, 09:57:06 AM
Rain, I'm sorry to hear this and hope you get it all sorted very soon. :cuddle;
Title: Re: lost my fistula yesterday
Post by: Riki on November 15, 2012, 01:26:51 PM
That sucks, Rain.. I've had 2 fistulas over the years.  The first one was in my left wrist, and was put in as a backup in case something happened where I couldn't do PD.  It was removed a year after my first transplant, and was never used.  I have a second one now, upper left arm, and it works great.  I think they'll keep putting fistulas in, as long as they appear that they will work with the veins, as long as you want one.  I know people who've had fistulas in upper legs.
Title: Re: lost my fistula yesterday
Post by: okarol on November 15, 2012, 01:45:15 PM
y not consider a permanent catherer  a permenant catherer has less chance of infection and u wont need 2 stick needles anymore
What's a permanent catheter? Is it like a HERO graft?
Title: Re: lost my fistula yesterday
Post by: Riki on November 15, 2012, 01:54:01 PM
y not consider a permanent catherer  a permenant catherer has less chance of infection and u wont need 2 stick needles anymore
What's a permanent catheter? Is it like a HERO graft?

I was wondering that too.. it's not something I'd want, though
Title: Re: lost my fistula yesterday
Post by: dharam85 on November 15, 2012, 09:57:04 PM
for many patients developin fistula is not pissible as their veins are thin or damaged for those patients paermanent catherer is used
permanent catherer just requires a surgery where 2 blocks are put 2 elimate chances of  infection though is not as easy as fistula  but many patients need it

if everythin goes on properly a permanent catherer will work for life
Title: Re: lost my fistula yesterday
Post by: sullidog on November 18, 2012, 03:20:38 PM
Just wondering did your doc do any autrasound or fistulogram on your existing fistula or did he just look at it and just said nope I can't fix it.
Title: Re: lost my fistula yesterday
Post by: stringbandbeth on November 19, 2012, 05:45:08 AM
Perma caths are never recomended for long term use . They are commonly used as a bridge for patients waiting for fistulas to mature and in patients where there is no possibility of a fistula or graft. The chance of infection/complications is much higher than any needle access. We have had lots of experience with perma caths . Pretty sure NO doc would suggest a patient plan on keeping one in as their long term dialysis access if there was any other place to make an access (leg/groin). As for it working for life I guess it depends on how long your life is or if you get a transplant but I've never heard of any patients using a cath for any long term. By long term I'm talking 5+ yrs.
Title: Re: lost my fistula yesterday
Post by: sullidog on November 19, 2012, 07:34:59 PM
I once knew a patient who had a permcath for 10 years, not the same one but not sure why he said he never got a fistula.
Title: Re: lost my fistula yesterday
Post by: Lillupie on November 19, 2012, 09:17:07 PM
y not consider a permanent catherer  a permenant catherer has less chance of infection and u wont need 2 stick needles anymore


How???? How and where would you get a permanat cathater???? For hemo? Or are you talking about PD???

Never heard of a permanat cath. If there is such a thing, im switching to NxStage.

Lisa
Title: Re: lost my fistula yesterday
Post by: stringbandbeth on November 20, 2012, 06:08:31 AM
Please don't think about getting a permacath out of choice. It is NOT a  Recommended long term access . Plus you can kiss that nice long relaxing shower goodbye. They are used when there is no way to create any other access. They can be very dangerous and the risk of infection is so much greater. Bear almost died from an infection that was lurking in the tunnels the cath is fed through.   Once again ...THE CHANCE OF INFECTION IS MUCH GREATER WITH A PERMACATH...and the treatment of  these infections is much harder.
   It will save your life and buy you quite a bit of time to get a working Fistula or Graft but you really need to be VERY cautious with them.   
Plus, unlike a PD cath, You can't get it wet at all.
Title: Re: lost my fistula yesterday
Post by: jeannea on November 20, 2012, 08:36:48 AM
It's called a permacath not a permanent catheter. It's the kind they put in your chest rather than your neck. They surgically put it in so that it goes directly into your veins. Usually they only like to use them for about 6 months but technically they can stay in as long as they don't get infected. I know someone who cannot get a fistula to work so he has had a series of permacaths. The risk of infection is greater than a fistula but this person must have been very careful and avoided infection.
Title: Re: lost my fistula yesterday
Post by: dharam85 on November 20, 2012, 09:24:44 AM

hi guys
my moms vein r very thin and doctor says gettin a fistula done is imposible now my doc is sayin the only option left is permacath
my doc is sayin permacath has some cuff mades which acts like barrier to infection
plz suggest me is permacath good and wht r its pro and cons
Title: Re: lost my fistula yesterday
Post by: sullidog on November 20, 2012, 07:00:58 PM
You say permcaths are cause for less infection? I'm thinking you are mistaking that for a hero catheter which is fairly new, it's a graft and a catheter that go under the skin, it's used for people who have no other access choices, however a select few surgeons have been trained to put these in, there is a site that will give you a list of surgeons in your area that put these in but I can't remember what it is.
Title: Re: lost my fistula yesterday
Post by: Lillupie on November 20, 2012, 08:18:12 PM
oh ok. Yeah I wouldnt want t perma cath at all. I dont consider that permanat either. A fistula is more permanant.

PD for me then.

Lisa
Title: Re: lost my fistula yesterday
Post by: YLGuy on November 20, 2012, 09:26:28 PM
I am sorry.  :(

How did it clot?
Title: Re: lost my fistula yesterday
Post by: dharam85 on November 20, 2012, 10:07:09 PM
thnks for the information
can u plz gimme some more information for hero cath
Title: Re: lost my fistula yesterday
Post by: Rain on November 26, 2012, 09:35:11 AM
I have low blood pressure and near the end of my run my blood pressure dropped and clotted the fistula.

Anyways I decided against another access (fistula or graft) for a few months.  The doctors thinks that I will be getting a transplant soon so they don't think I need to get a long term access and risk loosing another access.

I am only 29 and a person only has so many access sites.

Title: Re: lost my fistula yesterday
Post by: stringbandbeth on November 28, 2012, 05:49:42 AM
Just finished learning about the Hero Graft. Very Interesting. Seems like a combination of a graft and Cath. Nothing outside the body and cannulations done with a needle. It does sound like a HUGE improvement to the Permacath for infection controll and can be used for a long time. Bear is on D for the rest of his life. Nice to know new access options if there is ever a problem with the fistula.
  Thanks IDH once again for educating me!  :thumbup;