The Current State of Interventional Nephrology in India

Vachharajani, Tushar J.; Balasubramaniam, J; Abraham, Georgi

doi:10.1111/j.1525-139x.2011.00924.x

Cited by 6 publications

(5 citation statements)

References 21 publications

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“…2 Over the years, some nephrologists from around the world, particularly from Europe (Italy and Germany), India and now United States, have started creating the AVF. [3][4][5][6][7][8][9] Reported outcomes of AVFs created by nephrologists are similar to that of the surgeons. 9 A survey done in Italy showed that about 50% of nephrologists in the country perform AVF surgery.…”

Section: Introductionmentioning

confidence: 77%

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Functional Outcomes of Arteriovenous Fistulas Created by Nephrologist

Shrestha¹,

Soni²,

Vachharajani

2020

Kathmandu Univ. Med. J.

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Background Nephrologists worldwide, after undergoing surgical training, have reported creating arteriovenous fistulas (AVFs). Objective To demonstrate the functional outcome of arteriovenous fistulas created by a trained Nepalese nephrologist. Method This was a cross sectional study. A convenient sampling method was used and all consecutive AVFs created by a single nephrologist from January 2016 to December 2018 were included to assess their functional status within 3 months of creation. Patients with incomplete data and no follow up for up to 3 months post surgery were excluded. Result One hundred sixty six (166) arteriovenous fistulas were created during the study period; mean age of the patients was 52 ± 14 years, 121 (75%) male and 65 (39%) were diabetic. The most common site of arteriovenous fistula creation was left radiocephalic (Lt RC) 69(41.5%), followed by left brachiocephalic (Lt BC) 66(39.7%). Other sites were left brachiobasilic (Lt BB) 10(6%), right brachiocephalic (Rt BC) 10(6%), right radiocephalic (Rt RC) 9(5.4%) and right brachiobasilic (Rt BB) 2(1.2%). 139 arteriovenous fistulas (83.7%) were functional within 3 months post creation. Functional outcomes of radiocephalic, brachiocephalic and brachiobasilic arteriovenous fistulas were 75.6%, 90.7% and 100% respectively at 3 months post creation. Lymphoceles developed in three Lt BC arteriovenous fistulas, thrombosis in two Lt BC arteriovenous fistulas and infection in two Lt BC arteriovenous fistulas with pseudoaneurysm formation. Conclusion The functional outcome of arteriovenous fistulas created by a trained Nepalese nephrologist is similar to that reported in the literature.

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Section: Introductionmentioning

confidence: 77%

“…The study reported no difference in the outcome of AVFs created by the nephrologists and surgeons. 6 In our study 166 AVFs were created by a single nephrologist over a 3-year period. 78(47%) were radiocephalic, 76(45.7%) were brachiocephalic and 12(7.3%) were brachiobasilic AVFs.…”

Section: Discussionmentioning

confidence: 99%

Functional Outcomes of Arteriovenous Fistulas Created by Nephrologist

Shrestha¹,

Soni²,

Vachharajani

2020

Kathmandu Univ. Med. J.

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“…Other authors have published experiences on the role of interventional nephrologists regarding vascular accesses in developing countries 29 , 30 . These reports have in common the decrease in the waiting time for the procedures and the higher accessibility of patients to treatment.…”

Section: Discussionmentioning

confidence: 99%

Safety and efficacy of arteriovenous fistula angioplasties performed by nephrologists: report from a Brazilian interventional nephrology center

Franco¹,

Riella

Chula³

et al. 2022

Braz. J. Nephrol.

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Introduction: Arteriovenous fistulas (AVF) are the first choice vascular access for hemodialysis. However, they present a high incidence of venous stenosis leading to thrombosis. Although training in interventional nephrology may improve accessibility for treatment of venous stenosis, there is limited data on the safety and efficacy of this approach performed by trained nephrologists in low-income and developing countries. Methods: This study presents the retrospective results of AVF angioplasties performed by trained nephrologists in a Brazilian outpatient interventional nephrology center. The primary outcome was technical success rate (completion of the procedure with angioplasty of all stenoses) and secondary outcomes were complication rates and overall AVF patency. Findings: Two hundred fifty-six angioplasties were performed in 160 AVF. The technical success rate was 88.77% and the main cause of technical failure was venous occlusion (10%). The incidence of complications was 13.67%, with only one patient needing hospitalization and four accesses lost due to the presence of hematomas and/or thrombosis. Grade 1 hematomas were the most frequent complication (8.2%). The overall patency found was 88.2 and 80.9% at 180 and 360 days after the procedure, respectively. Conclusion: Our findings suggest that AVF angioplasty performed by trained nephrologists has acceptable success rates and patency, with a low incidence of major complications as well as a low need for hospitalization.

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“…In India 38 almost all renal biopsies are done by nephrologists, either real time, US guided, or with previous localization and temporary catheter insertion with progressive use of US-guided technique in centers with enough economic resources. Also, tunneled hemodialysis catheters with US guidance and fluoroscopy, being PD catheters an infrequent technique due to financial and governmental constraints.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic and Interventional Nephrology in Spain: A snapshot of current situation

et al. 2018

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Diagnostic and Interventional Nephrology is slowly spreading in Spain. It includes basic techniques to our specialty, allowing nephrologists to be more independent, efficient, and reducing waiting times and costs, overall improving patient care. Nowadays, more nephrologists aim to perform them. Therefore, appropriate training on different techniques should be warranted, implementing an official certification and teaching programs.

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The Current State of Interventional Nephrology in India

Cited by 6 publications

References 21 publications

Functional Outcomes of Arteriovenous Fistulas Created by Nephrologist

Functional Outcomes of Arteriovenous Fistulas Created by Nephrologist

Safety and efficacy of arteriovenous fistula angioplasties performed by nephrologists: report from a Brazilian interventional nephrology center

Diagnostic and Interventional Nephrology in Spain: A snapshot of current situation

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