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Author Topic: Any one on graph for hemo  (Read 92 times)
Seaweed
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« on: July 29, 2020, 10:27:53 PM »

Hi all. I had to switch to in home hemo
But i believe Dr wants to put a graph
Is there anyone out there that has one
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Simon Dog
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« Reply #1 on: July 30, 2020, 10:39:56 AM »

Do you mean graft?
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Michael Murphy
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« Reply #2 on: July 30, 2020, 01:52:18 PM »

Yes itís the safest form of access fit hemo. Itís commonly referred to as a fistula.  A vascular surgeon takes a vien and artery and connects them. I have had one fo 10 years now.
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kitkatz
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« Reply #3 on: July 31, 2020, 08:59:51 AM »

There are three types of access for dialysis.

Chest catheter with tubes that go in and out of you chest that are used for dialysis.

A graft is a bovine or plastic piece that connects an artery and vein. It can be used with 2 to 4 weeks after the arm has healed.

A fistula is an vein connected to an artery to make it large enough to do dialysis.  A fistula requires time to develop usually 6-8 weeks or more are needed until the fistula has matured enough to use.

Clarify these things with your doctor.
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Simon Dog
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« Reply #4 on: July 31, 2020, 12:23:11 PM »

Grafts are generally a second choice to fistulas, as they have a limited life of 2 years +/-.   I used a fistula for 6 years and its still buzzing away 2 years after transplant.

You always enter a graft with the needle at a 45deg angle.  That was the only question I had to guess on on the home hemo test, and they didn't bother mentioning that point in the training since I had a fistula - which is probably why I will always remember this detail.

There are other types beside the three - femoral line (temporary); various leg fistulas (or is is fustulii?); necklace fistula (obscure and complex, never saw one of these)

If a graft is recommended, ask why you are not suitable for a regular fistula.
« Last Edit: July 31, 2020, 12:25:46 PM by Simon Dog » Logged
UkrainianTracksuit
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« Reply #5 on: July 31, 2020, 05:55:38 PM »

Yes, I did dialysis for a short time with a arteriovenous graft if that is what you mean. I struggled with the creation of a good fistula (finally got a good one buzzing away), but like said above, it was able to be used quickly. And like previously said, it didn't last too long, in comparison to a fistula. That's all that there is to say, I guess.
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kristina
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« Reply #6 on: Today at 04:31:08 AM »

Grafts are generally a second choice to fistulas, as they have a limited life of 2 years +/-.   I used a fistula for 6 years and its still buzzing away 2 years after transplant.

Hello Simon,
Please tell me : How come that your fistula is still "buzzing away" two years after your successful transplant? Did the medics "keep it in" just in case because your new kidney did not "come up to scratch" yet or is it a usual procedure? I am only asking because my dialysis-chest-access was "taken out" very shortly after my own transplant.
Many thanks for your answer from Kristina. :grouphug;
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