St-Barts-hospital

Barts Health has performed a UK-first operation outside of trial setting that could reduce mortality and risks of infection in patients with dialysis. 

Dialysis is a vital procedure used by 30,000 renal patients across the UK that removes waste and excess fluid from the blood when the kidneys stop working properly, which often involves diverting blood to a machine to be cleaned.  

Interventional radiologists at The Royal London Hospital have carried out a new minimally invasive arteriovenous fistula (AVF) procedure called a WavelinQ EndoAVF.  

An endovascular AVF involves fusing a connection between the artery and adjacent vein within the forearm using direct heat which patients can use for dialysis. This procedure is an alternative to the more invasive traditional option of open surgery. 

Dialysis can also be conducted through a central venous catheter (CVC), a small plastic tube inserted into one of the large veins but is associated with much greater risks than dialysis through an AVF, including infection, high levels of morbidity and causing veins to close and is therefore avoided if possible. 

https://www.bartshealth.nhs.uk/news/ukfirst-innovation-could-save-lives-of-dialysis-patients-8657