Need an AV fistula?

A 36-year-old lady presented with a history of two failed attempts at an AVF creation in her left arm – both at the site of her elbow (antecubital fossa). She was right hand dominant and needed a new fistula. This is not an uncommon scenario for most dialysis patients. They have failed access and are in need of a new access. The key to success of an AVF created in a dialysis patient is from planning on this BEFORE the patient is on dialysis. Non-invasive assessment to...

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IVC filter to stop clots to the lungs

IVC filter to stop clots to the lungs

We recently had a 50 year old gentleman who developed leg pain – a cramping, nagging pain. He then went on to develop a cough and shortness of breath. He went to the hospital and was found to have a “Pulmonary embolism”.   He was placed on blood thinners, but then developed blood in his urine and hence had to be taken off the blood thinners. So to protect his lungs and heart from further bad effects of these “clots”, an IVC filter had to be placed. Once...

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Cyclists and Vascular problems

Cyclists and Vascular problems

Recently, I had a 50 year old healthy male patient who is an intensive cyclist who developed abdominal and back pain several months ago and through the process of elimination and investigation, was found to have “iliac artey dissection”. This is one of the rarer manifestations of “Endofibrosis”. While this happened at 50 years of age in this patient, it can happen at any age, including younger patients, and in recreational as well as professional...

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10 Q’s to ask your surgeon before having surgery

10 Q’s to ask your surgeon before having surgery

Why do I need this operation? How will the operation be performed? Are there other treatment options, and is this operation the best option for me? What are the risks, benefits, and possible complications for this operation? Will my health history and the medications I am currently taking mean the risks, possible complications, and benefits will be different for me? What are my anesthesia options? What kind of anesthesia is best for me considering my...

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Peripheral Vascular Disease (PVD) on the ascent in UAE

Peripheral Vascular Disease (PVD) on the ascent in UAE

As indicated by an internationally published study conducted in the Arabian Gulf ( Kuwait, UAE and Qatar.), 13.5 per cent of the population. in UAE (study covered people above the age of 18 across 64 health centres) found to have PVD. Peripheral Vascular disease results in poor blood circulation in arteries and veins, causing impairment in their condition which is a serious problem for the patient. Arteries anywhere in our body can get blocked by build-up of plaque, though...

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