The Combination of Sonography and Physical Examination Improves the Patency and Suitability of Hemodialysis Arteriovenous Fistula in Vascular Access

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Published: 30-06-2016
DOI: https://doi.org/10.21315/mjms2016.23.4.4
Keywords:
arteriovenous fistula, hemodialysis, ultrasound, sonography, vascular patency

Main Article Content

Normawati Mat Said
Department of Radiology, Universiti Sains Malaysia Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia
Kamarul Imran Musa
Department of Community Medicine, Universiti Sains Malaysia Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia
Mohamed Ashraf Mohamed Daud
Department of Surgery, Universiti Sains Malaysia Health Campus 16150, Kubang Kerian, Kelantan, Malaysia
Juhara Haron
Department of Radiology, Universiti Sains Malaysia Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia

Abstract

Purpose: We compared the patency and the suitability of arteriovenous fistula (AVF) created for vascular access by two approaches: (a) physical examination with preoperative vascular mapping and (b) physical examination alone. Methods: We compared the patency and the suitability of AVF created in patients for dialysis. There were two cohorts of patients of 79 patients each: (a) patients with AVF created based on the combination of physical examination and preoperative vascular mapping (PE+VM) and (b) patients with AVF created based on physical examination (PE) alone. Fistula patency is defined as clinical detection of thrill (or auscultation) of murmur over the fistula and coded as having thrills (patent) versus not having thrills (not patent). Suitability of fistula is defined as functioning AVF (AVF can be adequately used via 2-needle cannulation for dialysis) and coded as suitable versus not suitable. Results: AVF created after the preoperative vascular mapping (PE+VM) has 5.70 (at six weeks) and 3.76 (at three months) times higher chance for patency, and 3.08 times higher chance for suitable AVF for dialysis than AVF created after the physical examination (PE) alone. Conclusion: Physical examination with preoperative ultrasound mapping (PE+VM) significantly improves the short term patency and the suitability of AVF for dialysis.

Article Details

Issue

Vol. 23 No. 4 (2016)

Section

Original Articles
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This work is licensed under a Creative Commons Attribution 4.0 International License.

How to Cite

1.
Normawati Mat Said, Kamarul Imran Musa, Mohamed Ashraf Mohamed Daud, Juhara Haron. The Combination of Sonography and Physical Examination Improves the Patency and Suitability of Hemodialysis Arteriovenous Fistula in Vascular Access. Malays J Med Sci [Internet]. 2016 Jun. 30 [cited 2026 Nov. 11];23(4):26–32. Available from: https://ejournal.usm.my/mjms/article/view/mjms_vol23-no4-2016_4

References

Sofocleous CT, Abu-Judeh HH, Cooper SG, Yudd F, Cerveira J. Dialysis fistulas. Emedicine; 2008.

Sofocleous CT, Cerveira J, Cooper S G, Yudd M. Dialysis fistulas. emedicine; 2011 [cited 2015 Aug 15]. Available from: http://emedicine.medscape.com/article/419393-overview.

Santoro D, Benedetto F, Mondello P, Pipito N, Barilla D, Spinelli F, et al. Vascular access for hemodialysis: current perspectives. Int J Nephrol Renovasc Dis. 2014;7:281–294. doi: http://dx.doi.org/10.2147/IJNRD.S46643.

Talaiezadeh AH, Askarpour S, Paziar F. Factors responsible for fistula failure in hemodialysis patients. Pak J of Med Sci. 2006;22(4):451–453.

Grogan J, Castilla M, Lozanski L, Griffin A, Loth F, Bassiouny H. Frequency of critical stenosis in primary arteriovenous fistula before hemodialysis access : Should duplex ultrasound surveillance be the standard of care? J Vasc Surg. 2005;41(6):1000–1006. doi: http://dx.doi.org/10.1016/j.jvs.2005.02.019.

McGrogan DG, Maxwell AP, Khawaja AZ, Inston NG. Current tools for prediction of arteriovenous fistula outcomes. Clin Kidney J. 2015;8(3):282–289. doi: http://dx.doi.org/10.1093/ckj/sfv019.

Nursal TZ, Oguzkurt L, Teran F, Torer N, Noyan T, Karakayali H, et al. Is routine preoperative mapping for arteriovenous fistula creation necessary in patients with favorable physical examination findings? Results of a randomized controlled trial. World J Surg. 2006; 30(6):1100–1107. doi: http://dx.doi.org/10.1007/s00268-005-0586-8.

I. Mihmanli KB, S. Kurugoglu, K. Atakir, S. Haider, G. Ogut, F. Numan, E. Canturk and A. G. Sayin Cephalic vein and hemodialysis fistula: surgeon’s observation versus color Doppler ultrasonographic findings. J Ultrasound Med. 2001;20(3):217–222.

Ferring M, Claridge M, Smith SA, Wilmink T. Routine preoperative vascular ultrasound improves patency and use of arteriovenous fistulas for hemodialysis: a randomized trial. Clin J Am Soc Nephrol. 2010;5(12):2236–2244. doi: http://dx.doi.org/10.2215/CJN.02820310.

Silva MB Jr., Hobson RW @nd, Pappas PJ, Jamil Z, Araki CT, et al. A strategy for increasing use of autogenous hemodialysis access procedures: Impact of preoperative noninvasive evaluation. J Vasc Surg. 1998; 27(2):302–308.

Allon M, Ornt DB, Schwab SJ, Rasmussen C, Delmez JA, Greene T, et al. Factors associated wit the prevalence of arteriovenous fistulas in hemodialysis patients in the HEMO study. Kidney Int. 2000;58(5):2178–2185. doi: http://dx.doi.org/10.1111/j.1523-1755.2000.00391.x.

Mihmanli I, Besirli K, Kurugoglu S, Atakir K, Haider S, Ogut G, et al. Cephalic vein and hemodialysis fistula: surgeon’s observation versus color Doppler ultrasonographic findings. J Ultrasound Med. 2001;20(3):217–222. doi: http://dx.doi.org/10.1007/s40477-014-0113-6.