AIUM Practice Guideline for the Performance of Peripheral Arterial Ultrasound Examinations Using Color and Spectral Doppler Imaging

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doi:10.7863/ultra.33.6.1111

Cited by 9 publications

(4 citation statements)

References 39 publications

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“…Color Doppler ultrasound shows advantages in the visualization of intima-media thickness (IMT) and plaque, and therefore, is widely used in the clinical setting for noninvasive assessment of PAD (especially LEAD) in patients with diabetes [15]. Hence, color Doppler ultrasound imaging was used to detect abnormalities in the lower extremity arteries in the present study, in order to investigate the relationship between serum FGF23 levels and LEAD, as well as the related factors, in Chinese patients with type 2 diabetes mellitus (T2DM).…”

Section: Introductionmentioning

confidence: 99%

Elevated serum fibroblast growth factor 23 levels as an indicator of lower extremity atherosclerotic disease in Chinese patients with type 2 diabetes mellitus

et al. 2017

Cardiovasc Diabetol

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BackgroundRecently, basic and clinical studies have provided evidence supporting the relationship between circulating levels of fibroblast growth factor (FGF) 23 and the development of atherosclerosis. Given that diabetes is an established risk factor for lower extremity atherosclerotic disease (LEAD), the goal of the present study was to explore the relationship between serum FGF23 levels and LEAD, as well as the related factors, in Chinese patients with type 2 diabetes mellitus (T2DM).MethodsA total of 401 hospitalized T2DM patients (201 subjects with LEAD and 200 subjects without LEAD) were enrolled in this study. Serum FGF23 levels were determined by a sandwich enzyme-linked immunosorbent assay. Femoral intima-media thickness (F-IMT) and lower limb atherosclerotic plaque were assessed through color Doppler ultrasound.ResultsThe median (interquartile range) serum FGF23 levels in the entire study population was 42.08 (35.59–49.17) pg/mL. Subjects with LEAD had significantly higher serum FGF23 levels compared with those without LEAD (44.00 [37.54–51.30] pg/mL versus 40.42 [32.61–48.23] pg/mL, P < 0.001). Logistic regression showed that serum FGF23 levels were independently and positively correlated with the presence of LEAD (odds ratio 1.039, 95% confidence interval 1.012–1.067, P = 0.004). In addition, multiple liner regression analysis revealed that serum FGF23 levels were positively associated with F-IMT (standardized β = 0.175, P < 0.001). Furthermore, this relationship remained significant after additional adjustment for gender and factors potentially affecting serum FGF23 levels (serum calcium, serum phosphorus, and glomerular filtration rate), respectively (both P < 0.01).ConclusionsIn Chinese patients with T2DM, serum FGF23 levels were independently and positively correlated with the presence of LEAD.

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Section: Introductionmentioning

confidence: 99%

Elevated serum fibroblast growth factor 23 levels as an indicator of lower extremity atherosclerotic disease in Chinese patients with type 2 diabetes mellitus

et al. 2017

Cardiovasc Diabetol

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“…This study also shows that less than 2 mm venous widths are related to significantly higher failure rates (p-value <0.001). However, in our study, an arterial diameter of 2 mm was not found to be significant [ 14 , 15 ].…”

Section: Discussionmentioning

confidence: 67%

Standardization of Pre-operative Evaluation to Improve the Outcome of Arteriovenous Fistula for Vascular Access of Hemodialysis: A Review of 700 Cases

Suryawanshi,

Dutta,

Ganduboina

et al. 2023

Cureus

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Background With the advent of COVID-19, mortality rates of end-stage kidney disease (ESKD) rose by 37% which makes its treatment an important part of healthcare. Arteriovenous fistula (AVF) is linked to higher patient survival rates. Cimino-Brescia fistula is the most effective vascular access technique, but it has a high rate of primary failure (PF) and a several-week maturation period before it can be used. The current study aims to verify the preoperative evaluation in improving survival among AVF patients. Methodology The current study is a retrospective analysis of the hospital database from Jan 2022 to July 2023, with patients of a mean age of 60.2 years. The sample size was around 700, including the patients indicated for long-term hemodialysis (HD) with an estimated GFR of less than 20 mm/min/1.73m². Following AVF surgery, post-operative outcomes, PF, and maturation time were considered. Results Among the 757 AVF procedures, 588 (82%) were new cases, and 112 (16%) had prior AVF history on the same side. PF was observed in 126 (18%) AVFs, while 574 (84%) achieved maturation. Age at surgery did not correlate with PF. Male sex and brachiocephalic AVF (BCAVF) had lower PF rates, while female gender, non-BCAVF, and vascular chronic kidney disease (CKD) were independent predictors. Proximal fistulas had a higher failure risk (32%). During surgery, the PF occurred six times more frequently in patients with veins and arteries under 2 mm and without a bruit. Conclusion AVF maturation aims to achieve a functional AVF for easy dialysis, requiring meticulous vein selection, doppler vascular mapping, and a standardized process to reduce PF rates. Factors determining PF include thrill and bruit, flow rates, and comorbidities. These findings can help clinicians make informed decisions and improve outcomes for patients undergoing fistula surgery.

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“… 5 A guideline developed in collaboration with the American College of Radiology and the Society of Radiologists in Ultrasound recommends peripheral arterial ultrasound examination for mapping of arteries before surgical interventions. 6 The present unique technical methodology could help surgeons to create successful anastomoses consistently.…”

Section: Discussionmentioning

confidence: 98%

Technique of Duplex Scanning for Selection of Optimal Peripheral Anastomosis Site for Distal Bypass

Komai

Sakashita

Miyama

et al. 2017

EJVES Short Reports

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IntroductionSelection of the optimal anastomosis site is essential for obtaining good results from distal bypass. Herein, a unique, precise technique that uses pre-operative duplex scanning for selecting this site is presented.Technical summaryBefore distal bypass surgery, duplex scanning is performed to assess patency and flow. Use of the venous preset mode and controlling the slant function allows visualisation of colour Doppler flow inside the arteries, thus enabling selection of the best segment for anastomosis.ConclusionUse of duplex scanning in the appropriate mode consistently enables selection of the best anastomosis site for distal bypass, even when there is heavy calcification.

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AIUM Practice Guideline for the Performance of Peripheral Arterial Ultrasound Examinations Using Color and Spectral Doppler Imaging

Cited by 9 publications

References 39 publications

Elevated serum fibroblast growth factor 23 levels as an indicator of lower extremity atherosclerotic disease in Chinese patients with type 2 diabetes mellitus

Elevated serum fibroblast growth factor 23 levels as an indicator of lower extremity atherosclerotic disease in Chinese patients with type 2 diabetes mellitus

Standardization of Pre-operative Evaluation to Improve the Outcome of Arteriovenous Fistula for Vascular Access of Hemodialysis: A Review of 700 Cases

Technique of Duplex Scanning for Selection of Optimal Peripheral Anastomosis Site for Distal Bypass

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