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Articolul urmator |
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SM ISO690:2012 VASILIEV, Vladislav, VASILIEV, Andrei, TĂNASE, Adrian. Influence of functional arteriovenous fistula on the renal graft hemodynamic parameters during planned hemodialysis. Pilot training. In: Cercetarea în biomedicină și sănătate: calitate, excelență și performanță, Ed. 1, 20-22 octombrie 2021, Chişinău. Chișinău, Republica Moldova: 2021, p. 310. ISBN 978-9975-82-223-7 (PDF).. |
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Cercetarea în biomedicină și sănătate: calitate, excelență și performanță 2021 | ||||||
Conferința "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță" 1, Chişinău, Moldova, 20-22 octombrie 2021 | ||||||
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Pag. 310-310 | ||||||
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Background: The optimal approach to functional arteriovenous fistula (AV fistula) in patients after kidney graft (renal Tx) remains a debate topic. The FAV effects on graft functionality is often overlooked. Objective of the study. Evaluation of the functional FAV effect for elective hemodialysis on the hemodynamic parameters of a renal transplant. Material and Methods. The 32-year-old female patient was hospitalized and investigated by electrocardiography, echocardiography, kidney transplant and AV fistula Duplex ultrasound in the Urology and Kidney Transplant Clinic. At the same time, the data from the specialized literature were studied. Results. The patient was admitted with dyspnea on exertion, discomfort in the retrosternal region, the presence of a complicated AV fistula with a massive aneurysm with a blood flow - 3700 ml / min, presence of pulsating formation (venous aneurysm) in projection of the right jugular vein. The liquidation of the FAV was performed with the excision of the aneurysm. Decreased resistance index (RI) values were found during AV fistula compression. Average AV fistula values of pre-compression RI are 0.68 (0.63–0.74) versus 0.64 (0.62–0.67) during AV fistula compression (p = 0.030). Significant improvement in graft perfusion is found after AV fistula occlusion in the case of Qa ≥ 2.4 L / min. Conclusion. Systemic hemodynamic changes associated with temporary occlusion / elimination of AV fistula in patients with renal Tx contribute to better renal graft perfusion. For the final conclusions it is necessary to continue the study. |
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Cuvinte-cheie kidney graft, AV fistula, hemodialysis, transplant renal, FAV, hemodializa |
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