A systematic review of preoperative duplex ultrasonography and arteriovenous fistula formation

Abstract

Preoperative duplex mapping may improve fistula maturation rates. However, the results do not reach statistical significance and there are no cost-effectiveness data. Further work is required.

Arteriovenous Fistula Maturation in Prevalent Hemodialysis Patients in the United States: A National Study

“…However, despite gradual improvement in historically low rates of AVF placement in the US, suboptimal AVF maturation rates are increasingly problematic. 8,9 Prior work has credited the improvement to the key roles of preoperative planning and surgical techniques, 10–12 as well as the dedication and training of those responsible for both vascular access monitoring 13 and placement. 14 Motivated by this topic’s critical importance and paucity of relevant national data, we sought to characterize time-to-first use of AVF after surgical placement as a surrogate of successful ‘maturation.’ In particular, we explored factors associated with time-to-first successful AVF using newer data from CROWNWeb available from the United States Renal Data System (USRDS).…”

Color Doppler ultrasound and arteriovenous fistulas for hemodialysis

“…The use of Doppler ultrasound (DUS) by physicians performing vascular access surgery has increased the number of cases in which AVFs can be created with native vessels by allowing preoperative mapping and identification of suitable vessels. It has also improved AVF survival by facilitating early diagnosis and rapid correction of complications that may arise (postoperative monitoring/surveillance) [4][5][6][7][8].…”

Effect of brachial plexus block-driven vascular access planning on primary distal arteriovenous fistula recruitment and outcomes

“…3,4 Preoperative physical examination and duplex sonographic venous mapping are considered clinical prerequisites in optimizing vessel selection and ensuring positive outcomes but can be time-consuming. 5 Moreso, mapped vessels and operative plans can be miscategorized as a result of damage caused to the forearm and antecubital fossa veins from deliberate or inadvertent venipuncture during the preoperative wait. Also, suboptimal or phlebitic forearm veins deemed unfavorable may dilate or recanalize, providing a renewed opportunity for distal VA surgery.…”