STUDY OF ELECTROPHYSIOLOGICAL ABNORMALITIES IN UPPER EXTREMITIES AFTER A-V FISTULA CREATION IN END STAGE RENAL DISEASE PATIENTS | ||||
ALEXMED ePosters | ||||
Article 1, Volume 6, Issue 2, April 2024, Page 8-9 | ||||
Document Type: Preliminary preprint short reports of original research | ||||
DOI: 10.21608/alexpo.2024.283990.1826 | ||||
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Authors | ||||
Ali Ahmed Al-Emam1; Sameh Moustafa El Sayed‎2; Naguib Abd Elkarem El Askary3; Naylan Fayez Wahba ‎4; Ahmed Samy Mohammed Elsayed ![]() | ||||
1Vascular Surgery Department Faculty of Medicine, Alexandria University | ||||
2Department of Surgery, Faculty of Medicine, Alexandria University | ||||
3Department of Surgery Faculty of Medicine University of Alexandria | ||||
4Physical Medicine, Rheumatology, and Rehabilitation Department,* Faculty of Medicine, ‎Alexandria University | ||||
5Vascular Surgery Department, ‎ Faculty of Medicine, Alexandria University | ||||
Abstract | ||||
INTRODUCTION: Chronic kidney disease (CKD) is characterized by the gradual decline of renal function, initially presenting with no symptoms and progressing to manifestations such as lower limb edema, exhaustion, nausea, and vomiting. CKD is caused by various factors including hypertension, diabetes mellitus, genetic disorders, and autoimmune diseases. Diagnosis involves measuring estimated glomerular filtration rate (GFR), urinary albumin levels, and sometimes ultrasound or kidney biopsy. Differentiating between CKD and acute kidney injury (AKI) is crucial as AKI is reversible while CKD is irreversible. End-stage renal disease (ESRD) necessitates chronic hemodialysis, often requiring vascular access (VA) creation. Treatment options for ESRD include central dialysis catheters (CDCs), arteriovenous fistulae (AVFs), and arteriovenous grafts (AVGs). Complications of VA include infection, stenosis, thrombosis, and nerve-related issues such as ischemic monomelic neuropathy (IMN) and nerve compression. Early detection and intervention are crucial for minimizing complications and optimizing patient outcomes. Nerve conduction tests post-AVF creation can aid in identifying potential nerve-related complications, allowing for timely management. | ||||
Keywords | ||||
END STAGE RENAL DISEASE ; A-V FISTULA ; ELECTROPHYSIOLOGICAL ABNORMALITIES | ||||
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