FIRAPY reduce the need & frequency of Fistuloplasty

FIRAPY reduce the need & frequency of Fistuloplasty

Dr. Susan Stewart

Raigmore Hospital

Inverness, UK

The original poster published in BRS, 2017

Patient Selection

• Poor maturation of AVF
• After first or requiring regular fistuloplasty
• Steal Syndrome
• Patients referred from weekly vascular MDT

Application of FIRAPY

• To be used on native AV fistulae only
• Fistula limb must be uncovered
• Applied during every dialysis session, 40 min duration

Result

After FIRAPY introduction in 2014, fistuloplasty decrease.

The total numbers of fistuloplasty from 2011 to 2013 is 197.

The total numbers of fistuloplasty from 2014 to 2016 is 156.

Reduction of 41 procedure, it’s 21% reduction of fistuloplasty.

Conclusion

FIRAPY used on a regular basis does reduce the need for interventions.

It is an easy and convenient mode of therapy.

Cost effective.

Leads to a reduction in in-patients stays for HD patients due to fistula complication.