AIUM Practice Guideline for the Performance of Ultrasound Vascular Mapping for Preoperative Planning of Dialysis Access

doi:10.7863/jum.2012.31.1.173

Cited by 11 publications

(1 citation statement)

References 13 publications

(13 reference statements)

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“…There is no commonly accepted grading scale for quantifying calcifications in upper extremity arteries. The American Institute of Ultrasound in Medicine guideline for the performance of ultrasound vascular mapping only requires that the presence of calcifications is recorded and reported but does not require the level of calcifications to be graded nor do they provide a grading scale [ 23 ]. Nevertheless, there are several grading scales used in the literature.…”

Section: How To Assess Calcified Arteries Prior To Vascular Access Cr...mentioning

confidence: 99%

The Role of Ultrasound Examination in the Assessment of Suitability of Calcified Arteries for Vascular Access Creation—Mini Review

Gubenšek

2023

Diagnostics

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Arterial calcifications are present in 20–40% of patients with end-stage kidney disease and are more frequent among the elderly and diabetics. They reduce the possibility of arterio-venous fistula (AVF) formation and maturation and increase the likelihood of complications, especially distal ischemia. This review focuses on methods for detecting arterial calcifications and assessing the suitability of calcified arteries for providing inflow before the construction of an AVF. The importance of a clinical examination is stressed. A grading system is proposed for quantifying the severity of calcifications in the arteries of the arm with B-mode and Doppler ultrasound exams. Functional tests to assess the suitability of the artery to provide adequate inflow to the AVF are discussed, including Doppler indices (peak systolic velocity and resistive index during reactive hyperemia). Possible predictors of the development of distal ischemia are discussed (finger pressure, digital brachial index, acceleration and acceleration time), as well as the outcomes of AVFs placed on calcified arteries. It is concluded that a noninvasive ultrasound examination is probably the best tool for a morphologic and functional assessment of the arteries. An arterial assessment is of utmost importance if we are to create distal radiocephalic AVFs in our elderly patients whenever possible without burdening them with futile surgical attempts.

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Section: How To Assess Calcified Arteries Prior To Vascular Access Cr...mentioning

confidence: 99%

The Role of Ultrasound Examination in the Assessment of Suitability of Calcified Arteries for Vascular Access Creation—Mini Review

Gubenšek

2023

Diagnostics

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Approach to Patient Referred for Vascular Mapping

Niyyar

2013

Interventional Nephrology

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The Addition of Ultrasound Arterial Examination to Upper Extremity Vein Mapping before Hemodialysis Access

Kim

Koopmann

Ihenachor

et al. 2016

Annals of Vascular Surgery

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AIUM Practice Guideline for the Performance of Ultrasound Vascular Mapping for Preoperative Planning of Dialysis Access

Cited by 11 publications

References 13 publications

The Role of Ultrasound Examination in the Assessment of Suitability of Calcified Arteries for Vascular Access Creation—Mini Review

The Role of Ultrasound Examination in the Assessment of Suitability of Calcified Arteries for Vascular Access Creation—Mini Review

Approach to Patient Referred for Vascular Mapping

The Addition of Ultrasound Arterial Examination to Upper Extremity Vein Mapping before Hemodialysis Access

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