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Role of Doppler ultrasonography in the evaluation of hemodialysis arteriovenous access maturation and influencing factors
E. Chytilova, T. Jemcov, J. Malik, J. Pajek, B. Fila, J. Kavan
Language English Country United States
Document type Journal Article, Review
- MeSH
- Arteriovenous Shunt, Surgical * adverse effects MeSH
- Renal Dialysis MeSH
- Ultrasonography, Doppler, Duplex MeSH
- Humans MeSH
- Vascular Patency MeSH
- Retrospective Studies MeSH
- Ultrasonography MeSH
- Treatment Outcome MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Review MeSH
The goal of vascular access creation is to achieve a functioning arteriovenous fistula (AVF) or arteriovenous graft (AVG). An autologous fistula has been shown to be superior to AVG or to central venous catheters (CVCs) with lowest rate of re-intervention, but vessel obstruction or immaturity accounts for 20 % to 54% of cases with primary failure of AVF. This review is focused on the factors influencing maturation; indication and timing of preoperative mapping/creation of vascular access; ultrasound parameters for creation AVF/AVG; early postoperative complications following creation of a vascular access; ultrasound determinants of fistula maturation and endovascular intervention in vascular access with maturation failure. However, vascular accesses that fail to develop, have a high incidence of correctable abnormalities, and these need to be promptly recognized by ultrasonography and managed effectively if a high success rate is to be expected. We review approaches to promoting fistula maturation and duplex ultrasonography (DUS) of evaluating vascular access maturation.
Department of Nephrology Clinical Hospital Centre Zemun Belgrade Serbia
Department of Nephrology Ljubljana University Medical Centre Slovenia
Depatment of Vascular Surgery University Hospital Dubrava Zagreb Croatia
References provided by Crossref.org
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- $a The goal of vascular access creation is to achieve a functioning arteriovenous fistula (AVF) or arteriovenous graft (AVG). An autologous fistula has been shown to be superior to AVG or to central venous catheters (CVCs) with lowest rate of re-intervention, but vessel obstruction or immaturity accounts for 20 % to 54% of cases with primary failure of AVF. This review is focused on the factors influencing maturation; indication and timing of preoperative mapping/creation of vascular access; ultrasound parameters for creation AVF/AVG; early postoperative complications following creation of a vascular access; ultrasound determinants of fistula maturation and endovascular intervention in vascular access with maturation failure. However, vascular accesses that fail to develop, have a high incidence of correctable abnormalities, and these need to be promptly recognized by ultrasonography and managed effectively if a high success rate is to be expected. We review approaches to promoting fistula maturation and duplex ultrasonography (DUS) of evaluating vascular access maturation.
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