The use of doppler ultrasound in evaluation and follow-up of arteriovenous fistula patients

Year 2018, Volume: 4 Issue: 4, 356 - 361, 04.10.2018

Nail Kahraman , Kadir Kaan Özsin

https://doi.org/10.18621/eurj.376240

Abstract

Objectives:
The aim of the present study was to search the effect of preoperative Doppler
ultrasonography (DUS) of the concerning limb on AVF patency for arteriovenous
fistula (AVF) to be performed on the patients with end-stage renal disease.

Methods: One hundred and three patients were enrolled into the study. The exclusion
criteria were previous central catheter procedure, history of thrombophlebitis
on the upper limb and previous surgery on the upper limb. Among the remaining
patients, those who fulfilled the physical examination criteria were included.
The patients were divided into two groups as the control, DUS (-) group and the
study group, DUS (+). The patients in the control group were taken into the
procedure after a physical examination only. Brescio-Cimino method was
preferred for all patients. Function of the AVF was controlled on the procedure
day, at day 10, months 1, 3 and 6 as well as year 1 after the procedure. The
results in both groups were statistically evaluated.

Results: Twenty patients in the DUS (+) group (50% male, mean age: 57.25 ± 13.34 years)
and 20 patients in the DUS (-) group (45% male, mean age: 56.10 ± 12.35) were
recorded in the study. Cumulative primary patency rates between DUS (+) group
and DUS(-) group for 12 months were 95% and 65%, respectively (log-rank, p = 0.022).

Conclusion: We believe that the DUS performed
before AVF procedure would increase the primary patency rates of AVF created
between the most convenient vessels and reduce the procedure failure. 

Keywords

Hemodialysis, arteriovenous fistula, doppler ultrasonography, primary patency

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