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IR Juniors RENAL DIALYSIS VASCULAR ACCESS IRBITES WHAT IS IT? Central venous access is indicated for haemodialysis in renal failure, administration of noxious medications (chemotherapy, parenteral nutrition) or inadequate peripheral venous access. Dialysis shunts (arteriovenous fistulae/AVFs) are created between the radial artery and cephalic vein with ultrasound guidance. Types of central venous access; tunneled catheters and ports, peripherally inserted central catheters (PICCs) and AVFs. DIAGNOSIS MANAGEMENT Stage 5 PTA with drug-eluting balloon (end-stage) renal failure eGFR <15ml/min Central venous access Ultrasound to assess veins AVF formation It is now possible to create shunts (arteriovenous fistulae) endovascularly! Blocked shunts can also be treated endovascularly to reopen them with Percutaneous Transluminal Angioplasty (PTA) IRBITE using drug-eluting balloons ± stenting or stent-grafts. Interventional Radiology Curriculum for Medical Students Radiographs courtesy of Canva IR Bites is a 12 part teaching series for medical students and junior doctors of any grade who want to learn more about interventional radiology. We aim to teach you the CIRSE Interventional Radiology curriculum for medical students.