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A radiocephalic fistula. Patients with end stage renal failure are treated with hemodialysis. In dialysis, blood is withdrawn from an artery or vein, purified, and returned to a vein. The volume of blood is too great for veins to handle, so a vein must be enlarged. An artery and vein, usually in the arm above or below the elbow, are sewn together, to create a fistula, and arterial pressure eventually enlarges the vein. The enlarged vein can accommodate a cannula or large needle.
[edit] Physiology
When an arteriovenous fistula is formed involving a major artery like the abdominal aorta, it can lead to a large decrease in peripheral resistance. This lowered peripheral resistance causes the heart to increase cardiac output to maintain proper blood flow to all tissues. The physical manifestations of this would be a relatively normal systolic blood pressure with a decreased diastolic blood pressure resulting in a wide (large) pulse pressure. Normal blood flow in the brachial artery is 85 to 110 milliliters per minute (mL/ min). After the creation of a fistula, the blood flow increases to 400 to 500 mL/min immediately, and 700 to 1,000 mL/min within 1 month. A bracheocephalic fistula above the elbow has a greater flow rate than a radiocephalic fistula at the wrist. Both the artery and the vein dilate and elongate in response to the greater blood flow and shear stress, but the vein dilates more and becomes "arterialized". In one study, the cephalic vein increased from 2.3 mm to 6.3 mm diameter after 2 months. When the vein is large enough to allow cannulation, the fistula is defined as "mature." [1] An arteriovenous fistula can increase preload.[2]
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Mediplus (India) Limited, Delhi A.V. Fistula Set / Needle is a part of the dialysis equipment. The function of the device is to serve as a conduit for blood between blood vessel of the patient and the dialysis filter. eneral Specification * Sterilized by Ethylene Oxide gas. Sterilization process complies with ISO 11135-1. * Non-pyrogenic, for single use only.
* Colour coded wings for size identification. * Flexible, rotating wings designed for perfect griping during insertion and easy more...
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Dr. Goyal Medical Pvt. Ltd., Ahmedabad We are engaged in exporting a broad range of Surgical Products. The range is procured from eminent manufacturers of the market. Our professionals ensure that the products are in compliance with global quality standards and fulfill the needs of our clients. Appreciated for their reliable and durable features, our range includes: more...
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P. K. Scientific & Chemicals, New Delhi We are engaged in offering precision engineered range of a. V. Fistula needle with back-eye, 16g x 1", rotating hub. Ideally used in the dialysis and for other injectables, these are properly sterilized in order to minimize the possibility of infections. Some of the models include: Brands:- bioteq, fresenius, kawasumi, ad fusion Sizes :- 16g & 17g ( back eye ,rotating wings) more...
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Mediflora Pharmacy, Gurgaon * Flexible wings for proper fixation. * Safety Clamp available. * Soft, Frosted & kink resistant PVC tubing * Standard 6% taper For more details please contact mediflora pharmacy . Packaging 50 pc inner, 500 pc outer. Outer box - 670X460X280 mm, weight 8.25 kg more...
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Black eye needle to minimize interruption in blood flow Siliconised ultra thin walled & sharp beveled cannula to minimize trauma to the patient Highly kink resistant tubing Flexible wings for proper fixation Colour coded wings for easy identification of size Disposable, Non toxic, and pyrogen free Individually packed For single use only Sterile ready for use
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Mrk Healthcare, Mumbai Features Flexible wings for proper fixation. Safety Clamp available. Soft, Frosted & kink resistant PVC tubing Standard 6% taper Packaging 50 pc inner, 500 pc outer. Outer box - 670X460X280 mm, weight 8.25 kg more...
Address: B4/5 Byculla Service Industries Premises, Sussex Road, D.K.Marg, Byculla, Mumbai - 400 027, Maharashtra, India Website: http://www.indiamart.com/mrk-healthcare-mumbai/
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Customer Service Zefon International, Inc. 5350 SW 1st Lane Ocala, FL 34474 USA
Hours of Operation: Monday-Friday 8:00AM-5:30PM Eastern Time Phone: +1 (352) 854-8080; Fax: +1 (352) 854-7480 E-Mail: medinfo@zefon.com Domestic US Sales Martin Zaworski Director of US Sales Phone: 1-800-282-0073 Ext 8455 Fax: +1 (352) 854-7480 E-mail: MZaworski@zefon.com Territory Covered: United States & Territories International Sales Bill Tait Director of International Sales Phone: +1 (904) 284-1647 Email: BTait@zefon.com
Liz Reinhardt Regional Sales Manager Phone: +1 (727) 515-2881 Email: LReinhardt@zefon.com
Jiangsu Lengthen Life Science and Technology Co., Ltd. No. 52-2 Xiangzhang Road, Zhonglou Economic Development District, Changzhou, Jiangsu, China
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