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Journals / Damar Cerrahi Dergisi / 2017 / Cilt: 26 - Sayı: 2

Doppler ultrasonography evaluation in hemodialysis patients prior to arteriovenous fistula surgery: Our surgical experience

Hemodiyaliz hastalarında arteriyovenöz fistül cerrahisi öncesi Doppler ultrasonografi değerlendirmesi: Cerrahi deneyimimiz

Ahmet YÜKSEL
Gencehan KUMTEPE
Ayhan MÜDÜROĞLU
Orçun GÜRBÜZ
Pages
50–55
Publication Date
2022-10-10
DOI
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⚡ TL;DR(Too Long; Didn't Read)

These rates were similar to the results of selective Doppler ultrasonography which was performed in the external center.Conclusion: Preoperative Doppler ultrasonographic evaluation of the vascular structures in patients in whom an arteriovenous fistula is to be created can be performed safely by the surgeon with low cost and time-saving advantages

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: This study aims to investigate the effect of routine Doppler ultrasonographic evaluation before creation of an arteriovenous fistula on the outcomes of arteriovenous fistula surgery in patients undergoing hemodialysis.Patients and methods: Between January 2012 and October 2015, a total of 49 patients who were admitted to our center for arteriovenous fistula surgery were included in the study.
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Key Findings & Data:The arteriovenous fistulas were evaluated in terms of maturation and six-month patency rates.
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Conclusion & Impact:These rates were similar to the results of selective Doppler ultrasonography which was performed in the external center.Conclusion: Preoperative Doppler ultrasonographic evaluation of the vascular structures in patients in whom an arteriovenous fistula is to be created can be performed safely by the surgeon with low cost and time-saving advantages
🔬Design:Research Article
📍Scope:2012 Verileri
⚙️Variables:Domain Parameters

Abstract

Objectives: This study aims to investigate the effect of routine Doppler ultrasonographic evaluation before creation of an arteriovenous fistula on the outcomes of arteriovenous fistula surgery in patients undergoing hemodialysis.Patients and methods: Between January 2012 and October 2015, a total of 49 patients who were admitted to our center for arteriovenous fistula surgery were included in the study. In addition to physical examination, Doppler ultrasonography was routinely performed in all patients. The arteriovenous fistulas were evaluated in terms of maturation and six-month patency rates. In an external center, Doppler ultrasonography was selectively performed preoperatively and the operative data and results of the arteriovenous fistulas which were created using the same surgical technique were compared.Results: The arteriovenous fistulas formed by Doppler ultrasonography before surgery performed by the surgeon had a maturation rate of 81% and a six-month patency rate of 77%. These rates were similar to the results of selective Doppler ultrasonography which was performed in the external center.Conclusion: Preoperative Doppler ultrasonographic evaluation of the vascular structures in patients in whom an arteriovenous fistula is to be created can be performed safely by the surgeon with low cost and time-saving advantages

Özet

Amaç: Bu çalışmada hemodiyaliz hastalarında, arteriyovenöz fistül oluşturulmadan önce ameliyat öncesi rutin Doppler ultrasonografi değerlendirmesinin arteriyovenöz fistül cerrahisi sonuçlarına etkisi araştırıldı.Hastalar ve Yöntemler: Ocak 2012 - Ekim 2015 tarihleri arasında arteriyovenöz fistül cerrahisi için merkezimize başvuran toplam 49 hasta çalışmaya alındı. Hastaların tümüne fizik muayene ile birlikte rutin olarak Doppler ultrasonografi yapıldı. Arteriyovenöz fistüller maturasyon ve altı aylık açıklık oranları açısından değerlendirildi. Başka bir merkezde ameliyat öncesi selektif olarak radyolog tarafından Doppler ultrasonografi yapılarak, aynı cerrahi teknikle oluşturulan arteriyovenöz fistüllerin ameliyat bilgileri ve sonuçları karşılaştırıldı.Bulgular: Ameliyat öncesi cerrah tarafından Doppler ultrasonografi yapılarak oluşturulan arteriyovenöz fistüllerde maturasyon oranı %81 ve altı aylık açıklık oranı %77 idi. Bu oranlar, selektif olarak Doppler ultrasonografi yapılan diğer merkezin sonuçları ile benzerdi.Sonuç: Arteriyovenöz fistül oluşturulacak hastalarda ameliyat öncesi vasküler yapıların Doppler ultrasonografi ile değerlendirilmesi, düşük maliyet ve zamandan kazanma avantajları ile cerrah tarafından güvenle yapılabilir

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Cite This Article

YÜKSEL, A., KUMTEPE, G., MÜDÜROĞLU, A., GÜRBÜZ, O. (2022). Doppler ultrasonography evaluation in hemodialysis patients prior to arteriovenous fistula surgery: Our surgical experience. Damar Cerrahi Dergisi, Cilt: 26 - Sayı: 2, 50–55. https://ajindex.com/articles/486631

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References (14)

  1. Ravani P, Spergel LM, Asif A, Roy-Chaudhury P, Besarab A. Clinical epidemiology of arteriovenous fistula in 2007. J Nephrol 2007;20:141-9
  2. Maya ID, O'Neal JC, Young CJ, Barker-Finkel J, Allon M. Outcomes of brachiocephalic fistulas, transposed brachiobasilic fistulas, and upper arm grafts. Clin J Am Soc Nephrol 2009;4:86-92
  3. Allon M, Robbin ML. Increasing arteriovenous fistulas in hemodialysis patients: problems and solutions. Kidney Int 2002;62:1109-24
  4. National Kidney Foundation Kidney Disease Outcomes Quality Initiative: 2006 update vascular access. Guideline 2: Selection and placement of hemodialysis access. Am J Kidney Dis 2006;48(Suppl 1):S192-S200
  5. Tordoir J, Canaud B, Haage P, Konner K, Basci A, Fouque D, et al. EBPG on Vascular Access. Nephrol Dial Transplant 2007;22:88-117
  6. Smith GE, Barnes R, Chetter IC. Randomized clinical trial of selective versus routine preoperative duplex ultrasound imaging before arteriovenous fistula surgery. Br J Surg 2014;101:469-74
  7. Uysal D, Çeviker K, Yavuz T. Basic Strategies for Successful Arteriovenous Fistula Applications: A Three-Year Retrospective Study. Damar Cer Derg 2016;25:1-5
  8. Smith GE, Samuel N, Khan J, Johnson BF, Chetter IC. Targeted duplex ultrasound in a one-stop dialysis vascular access assessment clinic. Ann Vasc Surg 2011;25:1099-103
  9. Yasım A, Öksüz H, Kabalcı M, Eroğlu E, Sayarlıoğlu H, Doğan E. Hemodiyaliz amaçlı arteriovenöz fistüllerde preoperatif haritalamanın kısa dönem sonuçlarımıza etkisi. Damar Cer Derg 2008;17:104-8
  10. Robbin ML, Gallichio MH, Deierhoi MH, Young CJ, Weber TM, Allon M. US vascular mapping before hemodialysis access placement. Radiology 2000;217:83-8
  11. Silva MB Jr, Hobson RW, Pappas PJ, Jamil Z, Araki CT, Goldberg MC, et al. A strategy for increasing use of autogenous hemodialysis access procedures: impact of preoperative noninvasive evaluation. J Vasc Surg 1998;27:302-7
  12. Akoh JA, Paraskeva PP. Review of transposed basilic vein access for hemodialysis. J Vasc Access 2015;16:356-63
  13. Güçlü O, Yüksel V, Hüseyin S, Halici Ü, İşcan Ş, Ege T, et al. Mid-term follow-up results of arteriovenous fistulas with basilic vein transposition and prosthetic grafts in hemodialysis-dependent chronic renal failure patient. Damar Cer Derg 2015;24:8-12
  14. Patel ST, Hughes J, Mills JL Sr. Failure of arteriovenous fistula maturation: an unintended consequence of exceeding dialysis outcome quality Initiative guidelines for hemodialysis access. J Vasc Surg 2