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Arterivenous fistula problem - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Kidney Conditions
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
User :   I am 44 years old, diabetic, undergoing haemodialysis through AV fistula for the past 4 years. My doctor says the dialysis is not complete due to low flow rate through the fistula, and has davised me to get a AV graft. Is this correct?
Doctor :   Hi,
Doctor :   yes, he is right
Doctor :   it could be due to scarring of the old fistula
Doctor :   and its very common presentation
User :   Last year I wanted to go in for a transplant. My brother was ready to donate. however, my doctor after tests advised me that my heart will not sustain the operation. Will it , now?
Doctor :   it depends on the ECHO report
Doctor :   may i know what was the heart problem before to see whether it was a reversible problem or not
User :   There was no heart problem. I was advised it is weak due to dialysis
Doctor :   ok, i would like to know what was the EJECTION FRACTION which determines the safety levels
Doctor :   if that is ok now , then you can go ahead
User :   I don't know the ejection fraction. The flow rate is only 170. But it is like that from the beginning.
Doctor :   Ok , but since its a major surgery and you need general anesthesia , the heart has to be re evaluated again before deciding
User :   Thank you Doctor. So finally you advise me to go in graft?
Doctor :   also the respiratory system will be examined in detail
Doctor :   yes, re graft is ok
Doctor :   and common
User :   I am severe asthmatic from childhood
Doctor :   depends on which season you are getting opted for surgery
User :   Thank you Doctor
Doctor :   you are welcome
Doctor :   Thanks for consulting me , kindly provide your feedback
Doctor :   Bye for now
Doctor :   take care
Doctor :   Wish you al good health
User :   Thank You. Your advise has given me lot of confidence and I feel assured. Thank You again.
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