Routine Preoperative Venous and Arterial Mapping Increases Both, Construction and Maturation Rate of Upper Arm Autogenous Arteriovenous Fistulae

Kakkos, Stavros K.; Haddad, Georges; Stephanou, Amalia; Haddad, Joseph A.; Shepard, Alexander

doi:10.1177/1538574410391819

Cited by 16 publications

(10 citation statements)

References 34 publications

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“…Whilst preoperative vessel mapping has shown to increase the preponderance of native fistula populations over graft prostheses (Kakkos et al . ), there has not been a proven association with increased patency (Patel et al . ; Nursal et al .…”

Section: Discussionmentioning

confidence: 99%

“…Few strategies so far have shown a significant lasting improvement on arterio-venous fistula patency and outcome. Whilst preoperative vessel mapping has shown to increase the preponderance of native fistula populations over graft prostheses (Kakkos et al 2011), there has not been a proven association with increased patency (Patel et al 2003;Nursal et al 2006). In this study, we examined the use of early postoperative duplex ultrasonography (DUS) in the determination of primary or secondary fistula patency.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Post‐operative arterio‐venous fistula blood flow influences primary and secondary patency following access surgery

Benaragama

Barwell

Lord

et al. 2018

Journal of Renal Care

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Post‐operative arterio‐venous fistula blood flow influences primary and secondary patency following access surgery

Benaragama

Barwell

Lord

et al. 2018

Journal of Renal Care

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“…The limitations of available evidence include a lack of large, randomized controlled trials and meta-analysis data to support current practice. Routine preoperative upper extremity mapping with ultrasound not only increases AVF construction rate, but also their maturation likelihood [54] . A new surgical approach for VA for HD using a laterolateral AVF in the thigh between the femoral artery and superficial femoral vein transposed to the subcutaneous layer in patients with no other access options is described by Cerri et al [55] .…”

Section: Permanent Vamentioning

confidence: 99%

Vascular access today

Pantelias

Grapsa²

2012

WJN

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The number of patients with chronic kidney disease requiring renal replacement therapy has increased worldwide. The most common replacement therapy is hemodialysis (HD). Vascular access (VA) has a key role for successful treatment. Despite the advances that have taken place in the field of the HD procedure, few things have changed with regards to VA in recent years. Arteriovenous fistula (AVF), polytetrafluoroethylene graft and the cuffed double lumen silicone catheter are the most common used for VA. In the long term, a number of complications may present and more than one VA is needed during the HD life. The most common complications for all of VA types are thrombosis, bleeding and infection, the most common cause of morbidity in these patients. It has been estimated that VA dysfunction is responsible for 20% of all hospitalizations. The annual cost of placing and looking after dialysis VA in the United States exceeds 1 billion dollars per year. A good functional access is also vital in order to deliver adequate HD therapy. It seems that the native AVF that Brescia and Cimino described in 1966 still remains the first choice for VA. The native forearm AVFs have the longest survival and require the fewest interventions. For this reason, the forearm AVF is the first choice, followed by the upper-arm AVF, the arteriovenous graft and the cuffed central venous catheter is the final choice. In conclusion, VA remains the most important issue for patients on HD and despite the technical improvements, a number of problems and complications have to be resolved.

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“…Radiocephalic fistula is the first choice of hemodialysis access in clinics (Papanikolaou et al, 2009). To successfully construct a radiocephalic fistula, the diameter of radial arteries must be at least 1.6 mm with the existence of a palm arch, and the diameter of the cephalic veins must be at least 2.5 mm with no stenosis or constriction of the central vein (Pirozzi et al, 2010;Kakkos et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

Autogenous radiocephalic hemodialysis access in patients with small caliber cephalic veins after expansion with a Fogarty catheter

Fan

Liu

et al. 2014

Genet. Mol. Res.

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ABSTRACT. Autogenous arteriovenous fistula (AVF) is the first choice for hemodialysis access in renal failure with uremia. However, AVF cannot be performed in some patients due to small and narrow veins in the forearm. In this study, a Fogarty catheter was used to establish autogenous radiocephalic hemodialysis access in patients with small caliber cephalic veins, and the patency rate and complications of this method were observed. Sixty-seven patients with uremia were divided into a treatment group (40 cases, caliber of cephalic veins <2.5 mm) and a control group (27 cases, caliber of cephalic veins ≥2.5 mm). According to ultrasound results, the treatment group received AVF after expansion with a Fogarty catheter, and the control group received traditional AVF. The fistula patency rate and complications were observed during follow-up. All patients were followed up for an average period of 18 months (range = 3-36 months). AVF was successfully used in 58 patients for hemodialysis, with primary access failure in 9 cases (5 cases in the treatment group and 4 cases in the control group) due to (2014) early thrombosis. The primary and secondary patency rates 12 months after surgery in the treatment group were 64 and 72%, respectively, and those in the control group were 60 and 76%, respectively. Patients with small caliber cephalic veins can be treated with radiocephalic fistula after the caliber of cephalic veins is expanded to more than 2.5 mm with a Fogarty catheter. The long-term patency rate awaits observation in a longer follow-up period.

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Routine Preoperative Venous and Arterial Mapping Increases Both, Construction and Maturation Rate of Upper Arm Autogenous Arteriovenous Fistulae

Abstract: Routine preoperative upper extremity mapping with ultrasound increases not only AVF construction rate, but also their maturation likelihood.

Cited by 16 publications

References 34 publications

Post‐operative arterio‐venous fistula blood flow influences primary and secondary patency following access surgery

Post‐operative arterio‐venous fistula blood flow influences primary and secondary patency following access surgery

Vascular access today

Autogenous radiocephalic hemodialysis access in patients with small caliber cephalic veins after expansion with a Fogarty catheter

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