Tushar Vachharajani

Summary

Affiliation: W. G. (Bill) Hefner VA Medical Center
Location: Salisbury, NC, USA

Publications

  1. doi request reprint Diagnosis of arteriovenous fistula dysfunction
    Tushar J Vachharajani
    Nephrology Section, Department of Medicine, W G Bill Hefner VA Medical Center, Salisbury, North Carolina 28144, USA
    Semin Dial 25:445-50. 2012
  2. doi request reprint Obstacles for clinical monitoring in hemodialysis patients because of multiple vascular accesses
    Tushar J Vachharajani
    Department of Internal Medicine Nephrology, Wake Forest University School of Medicine, Winston Salem, NC 27157, USA
    Semin Dial 23:114-6. 2010
  3. doi request reprint Patency rates for angioplasty in the treatment of pacemaker-induced central venous stenosis in hemodialysis patients: results of a multi-center study
    Arif Asif
    Interventional Nephrology, University of Miami Miller School of Medicine, Miami, Florida 33136, USA
    Semin Dial 22:671-6. 2009
  4. doi request reprint Central vein hardware: cannot live with it, cannot live without it
    Tushar J Vachharajani
    Dialysis Access Group of Wake Forest University, Department of Internal Medicine, Wake Forest University School of Medicine, Winston Salem, North Carolina 27157, USA
    Semin Dial 22:588-9. 2009
  5. doi request reprint Timing of secondary arteriovenous fistula creation avoids tunneled catheter placement
    Tushar J Vachharajani
    Dialysis Access Group of Wake Forest University, Department of Internal Medicine, Wake Forest University School of Medicine, Winston Salem, North Carolina 27157, USA
    Semin Dial 21:364-6. 2008
  6. doi request reprint Retrospective analysis of catheter recirculation in prevalent dialysis patients
    Shahab Moossavi
    Wake Forest University Outpatient Dialysis Centers, Wake Forset University School of Medicine, Winston Salem, North Carolina 27157 1053, USA
    Semin Dial 21:289-92. 2008
  7. doi request reprint Long-term outcomes of transposed basilic vein arteriovenous fistulae
    Shahriar Moossavi
    Department of Internal Medicine Nephrology, Wake Forest University School of Medicine, Winston Salem, North Carolina, U S A
    Hemodial Int 12:80-4. 2008
  8. ncbi request reprint Managing dialysis catheter-related Staphylococcus aureus bacteremia
    Tushar Jitendra Vachharajani
    Am J Kidney Dis 50:1052; author reply 1052. 2007
  9. doi request reprint Successful models of interventional nephrology at academic medical centers
    Tushar J Vachharajani
    Dialysis Access Group of Wake Forest University School of Medicine, Department of Internal Medicine, Winston Salem, North Carolina 27157, USA
    Clin J Am Soc Nephrol 5:2130-6. 2010
  10. ncbi request reprint Cannulating the hemodialysis access through a stent graft - is it advisable?
    Vandana Dua Niyyar
    Divisions of Nephrology, Emory University, Atlanta, GA, USA
    Clin Nephrol 77:409-12. 2012

Detail Information

Publications48

  1. doi request reprint Diagnosis of arteriovenous fistula dysfunction
    Tushar J Vachharajani
    Nephrology Section, Department of Medicine, W G Bill Hefner VA Medical Center, Salisbury, North Carolina 28144, USA
    Semin Dial 25:445-50. 2012
    ..Furthermore, this strategy may avoid unnecessary interventions and assist with healthcare cost containment...
  2. doi request reprint Obstacles for clinical monitoring in hemodialysis patients because of multiple vascular accesses
    Tushar J Vachharajani
    Department of Internal Medicine Nephrology, Wake Forest University School of Medicine, Winston Salem, NC 27157, USA
    Semin Dial 23:114-6. 2010
    ..There is a critical need for creating tools to educate not only the chronic kidney disease patients but also medical personnel from other specialties regarding the value and care of dialysis vascular access...
  3. doi request reprint Patency rates for angioplasty in the treatment of pacemaker-induced central venous stenosis in hemodialysis patients: results of a multi-center study
    Arif Asif
    Interventional Nephrology, University of Miami Miller School of Medicine, Miami, Florida 33136, USA
    Semin Dial 22:671-6. 2009
    ..This study finds PTA to be a viable option in the management of PM/ICD lead-induced CVS. Additional studies with appropriate design and sample size are required to conclusively establish the role of PTA in the management of this problem...
  4. doi request reprint Central vein hardware: cannot live with it, cannot live without it
    Tushar J Vachharajani
    Dialysis Access Group of Wake Forest University, Department of Internal Medicine, Wake Forest University School of Medicine, Winston Salem, North Carolina 27157, USA
    Semin Dial 22:588-9. 2009
    ..We report a clinical decision dilemma that every nephrologist will encounter while considering an ideal dialysis access for the steadily aging dialysis population...
  5. doi request reprint Timing of secondary arteriovenous fistula creation avoids tunneled catheter placement
    Tushar J Vachharajani
    Dialysis Access Group of Wake Forest University, Department of Internal Medicine, Wake Forest University School of Medicine, Winston Salem, North Carolina 27157, USA
    Semin Dial 21:364-6. 2008
    ..We report a case illustrating the benefits of implementing the strategy in an elderly diabetic dialysis patient, successfully avoiding a tunneled cuffed catheter placement...
  6. doi request reprint Retrospective analysis of catheter recirculation in prevalent dialysis patients
    Shahab Moossavi
    Wake Forest University Outpatient Dialysis Centers, Wake Forset University School of Medicine, Winston Salem, North Carolina 27157 1053, USA
    Semin Dial 21:289-92. 2008
    ..66) or time on the current catheter (p = 0.48). The current study suggests that the CVC recirculation is independent of catheter brand, type, time on dialysis, or time on current catheter...
  7. doi request reprint Long-term outcomes of transposed basilic vein arteriovenous fistulae
    Shahriar Moossavi
    Department of Internal Medicine Nephrology, Wake Forest University School of Medicine, Winston Salem, North Carolina, U S A
    Hemodial Int 12:80-4. 2008
    ..Although nearly 20% of newly placed BVT will not function before first use, those that are functional have median survivals exceeding 6 years, and 38% will not require intervention within 3 years of initial use...
  8. ncbi request reprint Managing dialysis catheter-related Staphylococcus aureus bacteremia
    Tushar Jitendra Vachharajani
    Am J Kidney Dis 50:1052; author reply 1052. 2007
  9. doi request reprint Successful models of interventional nephrology at academic medical centers
    Tushar J Vachharajani
    Dialysis Access Group of Wake Forest University School of Medicine, Department of Internal Medicine, Winston Salem, North Carolina 27157, USA
    Clin J Am Soc Nephrol 5:2130-6. 2010
    ..This article describes various models of interventional nephrology programs at academic medical centers across the United States...
  10. ncbi request reprint Cannulating the hemodialysis access through a stent graft - is it advisable?
    Vandana Dua Niyyar
    Divisions of Nephrology, Emory University, Atlanta, GA, USA
    Clin Nephrol 77:409-12. 2012
    ..This case report emphasizes the hazards associated with cannulation of stent grafts, including stent fracture and leakage of blood into the surrounding tissue with recurrence of pseudoaneurysm...
  11. doi request reprint Dialysis vascular access management by interventional nephrology programs at University Medical Centers in the United States
    Tushar J Vachharajani
    Dialysis Access Group of Wake Forest University School of Medicine, Department of Internal Medicine Nephrology, Winston Salem, North Carolina 27157, USA
    Semin Dial 24:564-9. 2011
    ....
  12. pmc Adiponectin-deficiency exaggerates sepsis-induced microvascular dysfunction in the mouse brain
    Vidula Vachharajani
    Department of Anesthesiology, Wake Forest School of Medicine, Winston Salem, North Carolina, USA
    Obesity (Silver Spring) 20:498-504. 2012
    ..Adiponectin deficiency is associated with exaggerated leukocyte and PA in cerebral microcirculation of mice with CLP via modulation of E-selectin expression...
  13. doi request reprint The current state of interventional nephrology in India
    Tushar J Vachharajani
    Department of Medicine, Wake Forest University School of Medicine, Winston Salem, North Carolina 27157, USA
    Semin Dial 25:228-32. 2012
    ..The clinical experience from a center in Southern India is described here to show the current state of procedural nephrology practice in India...
  14. doi request reprint Re-evaluating the Fistula First Initiative in Octogenarians on Hemodialysis
    Tushar J Vachharajani
    Dialysis Access Group of Wake Forest University, Department of Internal Medicine Nephrology and Wake Forest University School of Medicine, Winston Salem, NC 27157, USA
    Clin J Am Soc Nephrol 6:1663-7. 2011
    ..Although the Fistula First Initiative recommends creating an arteriovenous fistula as the preferred dialysis access method, vascular access selection should be based on life expectancy and functional status at treatment initiation...
  15. doi request reprint Broken clamp on a cuffed tunneled catheter--are all catheters equal?
    Prashant Amin
    Dialysis Access Group of Wake Forest University, Department of Internal Medicine, Wake Forest University School of Medicine, Winston Salem, North Carolina 27157, USA
    Semin Dial 24:104-6. 2011
    ..This study highlights issues related to commonly used catheters and suggests, in the interest of patient safety, a need for improved regulatory oversight in the manufacturing of CTCs...
  16. doi request reprint Iatrogenic graft to vein fistula (GVF) formation associated with synthetic arteriovenous grafts
    Nabil J Haddad
    The Ohio State University, Columbus, Ohio Dialysis Access Group of Wake Forest University, Winston Salem, North Carolina 43210, USA
    Semin Dial 23:643-7. 2010
    ..We report a series of eight cases with GVF formation between AVG and adjacent veins. Awareness of this complication and intervention to relieve stenotic lesions may result in improved AVG survival...
  17. ncbi request reprint Hemodialysis grafts: on the controversial decision to stent venous anastomotic stenoses
    Tushar J Vachharajani
    Semin Dial 21:115. 2008
  18. ncbi request reprint Sheathless or 'over-the wire' technique for tunnelled cuffed catheter insertion
    Tushar J Vachharajani
    Nephrol Dial Transplant 23:420-1. 2008
  19. ncbi request reprint Nephrology education clinic for early chronic kidney disease
    Tushar J Vachharajani
    Semin Dial 17:320-1. 2004
  20. ncbi request reprint Hyponatremia in critically ill patients
    T J Vachharajani
    Louisiana State University Health Sciences Center and Overton Brooks Veterans Affairs Medical Center, Shreveport, LA 71130, USA
    J Intensive Care Med 18:3-8. 2003
    ..A systematic approach by clinicians, using a detailed history, physical examination, and relevant diagnostic tests, will assist in efficient management of salt and water problems...
  21. ncbi request reprint Port catheter placement by nephrologists in an interventional nephrology training program
    Aslam Pervez
    Department of Medicine, Louisiana State University Health Sciences Center, Shreveport, Louisiana 71103, USA
    Semin Dial 17:61-4. 2004
    ..Interventional nephrologists, who have adequate training in central venous tunneled cuffed catheter placements, can successfully place PCs, with excellent success and minimal complications...
  22. ncbi request reprint Interventional nephrology in federal health care system
    Naveen K Atray
    Am J Kidney Dis 42:1105; author reply 1105. 2003
  23. ncbi request reprint Tuberculosis in renal transplant recipients: rifampicin sparing treatment protocol
    Tushar J Vachharajani
    Department of Transplantation, Bombay Hospital Institute of Medical Sciences, Mumbai, India
    Int Urol Nephrol 34:551-3. 2002
    ..De novo diabetes mellitus appears to be an added risk factor and increases the susceptibility to mycobacterial infection...
  24. ncbi request reprint Diagnosis and treatment of tuberculosis in hemodialysis and renal transplant patients
    T Vachharajani
    Division of Renal Transplant, Bombay Hospital Institute of Medical Sciences, Mumbai, India
    Am J Nephrol 20:273-7. 2000
    ..With the resurgence of tuberculosis in the US, insights gained in the diagnosis and treatment of this infection in HD and RT patients in developing countries should be valuable to physicians in the West...
  25. ncbi request reprint Vascular access conundrum
    Tushar Vachharajani
    Semin Dial 18:161; discussion 161-2. 2005
  26. pmc Does treating obesity stabilize chronic kidney disease?
    Sujata Agnani
    Department of Medicine and Nephrology, Louisiana State University Health Sciences Center, Shreveport, Louisiana, USA
    BMC Nephrol 6:7. 2005
    ..We report a case with morbid obesity whose renal function was stabilized with aggressive management of his obesity...
  27. ncbi request reprint Aging veterans and the end-stage renal disease management dilemma in the millennium
    Tushar J Vachharajani
    Department of Internal Medicine and Nephrology, Overton Brooks Veterans Affairs Medical Center and Louisiana State University Health Sciences Center, Shreveport, Louisiana, USA
    Hemodial Int 11:456-60. 2007
    ..A decision to not initiate or withdraw dialysis is possible in critically ill elderly patients and if taken judiciously can reduce physical and mental stress of both the patient and their family members...
  28. ncbi request reprint Non-surgical salvage of thrombosed arterio-venous fistulae: a case series and review of the literature
    Shahriar Moossavi
    Department of Internal Medicine, Wake Forsest University School of Medicine, Winston Salem, North Carolina 27157 1053, USA
    Semin Dial 20:459-64. 2007
    ..We conclude that interventional repairs should routinely be employed to salvage newly thrombosed AVF. The vast majority of these individuals can avoid receiving dialysis catheters or placement of a new dialysis vascular access...
  29. ncbi request reprint Vasopressin-receptor antagonist therapy in patients with hyponatraemia
    Tushar Vachharajani
    Department of Internal Medicine Nephrology, Wake Forest University School of Medicine, Winston Salem, NC 27157, USA
    Br J Hosp Med (Lond) 68:367-72. 2007
    ..Arginine vasopressin receptor antagonists block the action of arginine vasopressin and correct sodium and water imbalance in patients with euvolaemic or hypervolaemic hyponatraemia...
  30. ncbi request reprint A large splenic cyst mimicking diabetic gastroparesis
    A Sequeira
    Louisiana State University Health Sciences Center, LA, USA
    Int J Clin Pract 60:1317-8. 2006
    ..We report an interesting case of a large incidental splenic cyst in a young diabetic patient who presented with diabetic ketoacidosis and mimicking gastroparesis. The differential diagnosis and management of splenic cysts is discussed...
  31. ncbi request reprint Interventional nephrology in a federal hospital: economics of health care
    Tushar J Vachharajani
    Overton Brooks Veterans Affairs Medical Center, Shreveport, Louisiana 71101, USA
    Semin Dial 19:421-4. 2006
    ..Increasing awareness of this procedural aspect of nephrology benefits not only the patients, but also helps ease the financial burden of ever-escalating health care costs...
  32. ncbi request reprint Marked hyperuricemia with acute renal failure: need to consider occult malignancy and spontaneous tumour lysis syndrome
    S Agnani
    Departments of Internal Medicine and Nephrology, Louisiana State University Health Sciences Center, Shreveport, LA 71101, USA
    Int J Clin Pract 60:364-6. 2006
    ..The second patient is interesting as he is probably the first reported case of lymphoma with HIV infection presenting as spontaneous TLS. Early diagnosis and prompt renal replacement therapy does not necessarily reverse the ARF...
  33. ncbi request reprint Detection of occult renovascular disease in unexplained chronic kidney disease
    Tushar J Vachharajani
    Department of Nephrology, St Bartholomew s Hospital, London, UK
    Int Urol Nephrol 37:793-6. 2005
    ..Four patients did not benefit in any form with intervention. Occult atheromatous renal vascular disease is a common, not readily predictable and potentially correctable etiology of unexplained CKD...
  34. ncbi request reprint Curvularia geniculata fungal peritonitis: a case report with review of literature
    T J Vachharajani
    Department of Medicine, Division of Nephrology, Louisiana State University Health Sciences Center, Shreveport, LA 71103, USA
    Int Urol Nephrol 37:781-4. 2005
    ..We discuss the reported cases of Curvularia lunata peritonitis in literature and emphasize the early removal of catheter and treatment with intravenous amphotericin B...
  35. ncbi request reprint A large splenic cyst: "incindentalocyst"
    Adrian Sequeira
    South Med J 98:1054-5. 2005
  36. ncbi request reprint Invasive and innovative nephrology
    Tushar J Vachharajani
    Overton Brooks Veterans Affairs Medical Center, Shreveport, Louisiana 71101, USA
    Ren Fail 27:255-8. 2005
    ..We report our early experience in successfully providing complete care to veterans with renal failure, despite multiple logistical obstacles...