Arteriovenous Fistula Development in the First 6 Weeks after Creation

Robbin, Michelle L.; Greene, Tom; Cheung, Alfred K.; Allon, Michael; Berceli, Scott A.; Kaufman, James S.; Allen, Matthew W.; Imrey, Peter B.; Radeva, Milena; Shiu, Yan-Ting; Umphrey, Heidi; Young, Carlton J.; Group, For the Hemodialysis Fistula Matura

doi:10.1148/radiol.2015150385

Cited by 110 publications

(131 citation statements)

References 31 publications

Supporting

Mentioning

119

Contrasting

Unclassified

Order By: Relevance

“…The baseline parameters like age, gender, diabetes and hypertension were similar to other studies. 3,9,10 The primary patency rates was 77% in our experience which was similar to other Indian experience published by plastic surgeon 11 as well as other international studies by nephrologists. 9,[12][13][14] All of 17 patients already on HD could be switched to AVF from nontunneled catheter at 4-5 weeks with adequate pump speed (300 ml/min).We followed them only for two weeks after first cannulation, no one had secondary failure/ complications in this period.…”

Section: Discussionsupporting

confidence: 89%

“…3,16 We found normotension (systolic < 120 mmHg) to be strongly associated with AVF failure as low blood flow is predisposing factor for AVF failure as in HEMO study. 17 As expected similar to other studies failure was significantly associated with lesser arterial diameter 9,10,12,13,18 , the minimum diameter on which AVF was successfully created was 1.5 mm, we didn't attempt AVF creation if cephalic vein diameter after proximal compression of arm was less than 2 mm. Different studies have suggested a good correlation between arterial measurement by USG and direct measurement perioperatively 9,12,13,19 ; we didn't measure the arterial diameter during surgery.…”

Section: Discussionsupporting

confidence: 82%

See 1 more Smart Citation

Arteriovenous Fistula Creation by Nephrologist: A Single Centre Experience

Chauhan¹,

Singh²,

Dogra³

et al. 2019

IJCMR

View full text Add to dashboard Cite

Introduction: Arteriovenous Fistula (AVF) is the preferred vascular access with the least rate of complications and morbidities. Across the globe except European countries AVF is created predominantly by surgeons. There are very few experiences shared by Nephrologists from Indian subcontinent in creating AV fistulas and their follow up. The aim of this study was to assess preoperative factors affecting the outcome of AVF creation and the follow up of successfully created fistulas. Material and Methods:A prospective observational study was carried at our hospital over a period of six months from 01 October 2018 to 31 March 2019. All patients undergoing AVF creation by nephrologist from 01 October 2018 to 15 Feb 2019 were included in the study and each patient was followed for six weeks. Besides baseline parameter, history of Diabetes, hypertension and coronary and peripheral vascular disease were noted. All the perioperative findings like vascular calcification and Blood pressure were noted. All successful AVF were followed for six weeks with serial USG and Doppler at postoperative day 1, 2 week and 6 weeks. Results:A total of 20 (77%) out of 26 AVF were successfully created, The average age was 54.6±15.4 years, Among baseline parameters gender had statistical significance (p=0.03). During surgery more arterial diameter and hypertension were associated with successful outcome. During follow-up, both arterial and venous diameter as well as blood flow in artery and AVF had significant correlation between postoperative 1 st , 2 nd and 6 th week (p<0.01). More than 35% and 80% of patients at 2 and 6 weeks respectively achieved criteria for successful maturation as per NKF-KDOQI criteria and it was > 90% and 100% as per UAB criteria. Conclusion:Our experience suggest good outcome of AVF creation by nephrologist, even with those with risk factors for failure and non maturation. Also we suggest early cannulation of AVF at four weeks or earlier.

show abstract

Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 82%

Arteriovenous Fistula Creation by Nephrologist: A Single Centre Experience

Chauhan¹,

Singh²,

Dogra³

et al. 2019

IJCMR

View full text Add to dashboard Cite

show abstract

“…Three early sonographic parameters at 2 postoperative weeks were associated with the future maturation status; therefore, integrating these factors with the clinical risk factors may help identify patients at high risk for maturation failure. Recently, the Hemodialysis Fistula Maturation Study group has reported that cephalic vein diameter and volume flow at 2 weeks accurately predict 6-week measures in 602 patients with de novo autogenous fistulas (25). We look forward to their upcoming report assessing the associations of patient factors and sonographic surrogates with clinical maturation in these patients and expect the result to provide additional insights on the usefulness of early DU examination in predicting clinical maturation.…”

Section: Discussionmentioning

confidence: 95%

A Prospective, Randomized Trial of Routine Duplex Ultrasound Surveillance on Arteriovenous Fistula Maturation

Han¹,

Min²,

Kim

et al. 2016

CJASN

View full text Add to dashboard Cite

show abstract

“…A mature AVF must be easily palpable and support cannulation by two 17‐gauge needles. Clinical determination of fistula maturity by skilled nursing was reportedly 80% accurate in one study; however, palpation had 96% sensitivity in another study if a thrill was present . If an adequate AVF is not clinically identified in the first 4 to 8 weeks after surgical access creation, an ultrasound examination can be performed to assess for a potentially correctable anatomic problem.…”

Section: Specifications Of the Examinationmentioning

confidence: 99%

AIUM Practice Parameter for the Performance of Vascular Ultrasound Examinations for Postoperative Assessment of Hemodialysis Access

2020

J of Ultrasound Medicine

View full text Add to dashboard Cite

Arteriovenous Fistula Development in the First 6 Weeks after Creation

Cited by 110 publications

References 31 publications

Arteriovenous Fistula Creation by Nephrologist: A Single Centre Experience

Arteriovenous Fistula Creation by Nephrologist: A Single Centre Experience

A Prospective, Randomized Trial of Routine Duplex Ultrasound Surveillance on Arteriovenous Fistula Maturation

AIUM Practice Parameter for the Performance of Vascular Ultrasound Examinations for Postoperative Assessment of Hemodialysis Access

Contact Info

Product

Resources

About