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26 - The left arm is bigger due to a blockage on the same side as an active fistula. The patient needs a procedure to open up the veins again
27 - This basilic vein on the back of the forearm is not in a convenient place for a fistula, but it can be moved to the front of the forearm, or to the upper arm
28 - A normal venogram, with the vessels from the right arm coming into the chest (notice the ribs showing faintly in the bottom left side of the photo), and then emptying down into the heart
29 - The vein going down to the heart has been ruined by the catheter you can see in the x-ray. Compare this picture to #25. If the blockage is not corrected, the patient will have a swollen hand and arm (#26 and #27) and not be able to use that arm for dialysis
30 - This ultrasound tracing shows good flow in a graft or fistula
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