Document Detail

The role of sonography in the planning of arteriovenous fistulas for hemodialysis.
MedLine Citation:
PMID:  12839503     Owner:  NLM     Status:  MEDLINE    
Patients presenting for initial access evaluation in contemporary practice are less likely to have arteries and veins suitable for native fistula (AVF) formation in the classic location. Physical examination of the upper extremity alone may be inadequate for selection of arteries and veins that will mature into a functioning AF. The purpose of this paper is to determine how duplex ultrasonography can be used as an effective modality for the preoperative evaluation of vessels before construction of arteriovenous fistula for hemodialysis. The author have used duplex ultrasound (DU) to assess upper-extremity vasculature for planning of dialysis access procedures. Criteria for selection of arteries and veins and a detailed description of DU examination protocol are reviewed. Routine use of upper-extremity DU has identified many patients with veins that are suitable for use and determined arteries with optimal arterial inflow for successful AFV creation.
Marko Malovrh
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Seminars in dialysis     Volume:  16     ISSN:  0894-0959     ISO Abbreviation:  Semin Dial     Publication Date:    2003 Jul-Aug
Date Detail:
Created Date:  2003-07-03     Completed Date:  2003-12-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8911629     Medline TA:  Semin Dial     Country:  United States    
Other Details:
Languages:  eng     Pagination:  299-303     Citation Subset:  IM    
Department of Nephrology, University Medical Center Ljubljana, Ljubljana, Slovenia.
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MeSH Terms
Arteries / ultrasonography*
Arteriovenous Shunt, Surgical*
Renal Dialysis*
Ultrasonography, Doppler, Duplex*
Vascular Resistance
Veins / ultrasonography*

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