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Author Topic: Any one on graph for hemo  (Read 90 times)
Seaweed
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Great day to be alive and thankful

« 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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