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Chapter 14: Hemodialysis Access Grafts and Fistulas
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Which of the following best describes the Brescia-Cimino procedure?
A. A brachial artery to median cubital vein fistula.
B. A straight Teflon graft from radial artery to the basilic vein.
C. A radial artery to cephalic vein fistula.
D. An indwelling hemodialysis catheter.
c
In a patient with a hemodialysis access forearm loop graft, digital ischemia can result from which of the following conditions?
A. Thrombosed hemodialysis access graft.
B. Incomplete palmar arch.
C. Pseudoaneurysm.
D. Venous outflow obstruction.
b
Which of the following veins does not have an accompanying artery?
A. Subclavian
B. Axillary
C. Brachial
D. Basilic
d
What is considered to be the lowest vein diameter suitable for an arterial to venous hemodialysis fistula?
A. 1.5 mm
B. 2.0 mm
C. 2.5 mm
D. 2.0 cm
c
Which of the following grafts is impenetrable by ultrasound?
A. Gore-tex
B. Bovine
C. Atrium
D. Vectra
d
Reverse flow detected in the distal radial artery of an ipsilateral radial artery to basilic vein graft indicates which of the following conditions?
A. Impending graft failure.
B. Occluded ulnar artery.
C. Incompetent palmar arch.
D. Patent palmar arch.
d
Which of the following vessels is not usually used in hemodialysis access grafts of fistulas?
A. Cephalic vein
B. Brachial vein
C. Basilic vein
D. Median cubital vein.
b
Antegrade, triphasic flow in a radial artery distal to a brachial artery to basilic vein loop hemodialysis access graft indicates which of the following?
A. Normal radial artery flow.
B. Venous outflow obstruction.
C. Pseudoaneurysm at anastomosis.
D. Graft failure.
a
Which access graft does not require maturation time?
A. Vectra (polyurethane)
B. Gore-tex
C. Atrium
D. Impra PTFE
a
Antegrade, triphasic flow in a brachial artery proximal to a radial artery to basilic vein hemodialysis access graft indicates which of the following?
A. Normal radial artery flow.
B. Venous outflow obstruction.
C. Pseudoaneurysm at anastomosis.
D. Graft failure.
d
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