Importance of monitoring and treatment of failed maturation in radiocephalic arteriovenous fistula in predialysis: Role of ultrasound
The aim of the study was to analyse outcomes of AVF-RC in predialysis stage in which a clinical and radiological follow up of its maturation had been done and primary failure had been treated. Material and methods: We studied 127 RC-AVF in 117 predialysis patients. All cases had a preoperative map....
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2016-07-01
|
| Series: | Nefrología (English Edition) |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2013251416300281 |
| _version_ | 1811231805749067776 |
|---|---|
| author | Salomé Muray Cases José García Medina Juan Mariano Pérez Abad Alberto Javier Andreu Muñoz Fernanda Ramos Carrasco Antonio Pérez Pérez Noelia Lacasa Pérez Juan Bernardo Cabezuelo Romero |
| author_facet | Salomé Muray Cases José García Medina Juan Mariano Pérez Abad Alberto Javier Andreu Muñoz Fernanda Ramos Carrasco Antonio Pérez Pérez Noelia Lacasa Pérez Juan Bernardo Cabezuelo Romero |
| author_sort | Salomé Muray Cases |
| collection | DOAJ |
| description | The aim of the study was to analyse outcomes of AVF-RC in predialysis stage in which a clinical and radiological follow up of its maturation had been done and primary failure had been treated.
Material and methods: We studied 127 RC-AVF in 117 predialysis patients. All cases had a preoperative map. The RC-AVF was considered mature if it had a brachial artery flow ≥500 ml/min and a cephalic vein diameter of ≥4 mm. Primary failure was treated radiologically or surgically depending on the type of lesion. Fifty-eight patients started dialysis at the time of the study.
Results: In 106 RC-AVF without thrombosis, 72 (68%) were mature and 34 (32%) were immature. A total of 97% of the immature had at least one lesion, and the most common site was the post-anastomotic vein. Lesions were found in 31% of mature RC-AVF, and 18% of patients required treatment. Radiological treatment was the most frequent for maturation failure. After 6 months, primary and secondary patency were 59% and 78%, while after 12 months they were 48% and 77%, respectively. The 80% of patients started dialysis with a distal AVF (76% RC-AVF and 4% ulnar basilic). None of the patients with treated immature RC-AVF started dialysis with CVC, while 78% of the patients started with said AVF.
Conclusion: Ultrasonography for monitoring maturation provides advantages over clinical monitoring. With our management of RC-AVF in predialysis, 80% of patients start dialysis with an adequate distal AVF. |
| first_indexed | 2024-04-12T10:51:19Z |
| format | Article |
| id | doaj.art-a260def8dd054bd880092b03200ad29a |
| institution | Directory Open Access Journal |
| issn | 2013-2514 |
| language | English |
| last_indexed | 2024-04-12T10:51:19Z |
| publishDate | 2016-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Nefrología (English Edition) |
| spelling | doaj.art-a260def8dd054bd880092b03200ad29a2022-12-22T03:36:13ZengElsevierNefrología (English Edition)2013-25142016-07-0136441041710.1016/j.nefroe.2016.05.001Importance of monitoring and treatment of failed maturation in radiocephalic arteriovenous fistula in predialysis: Role of ultrasoundSalomé Muray Cases0José García Medina1Juan Mariano Pérez Abad2Alberto Javier Andreu Muñoz3Fernanda Ramos Carrasco4Antonio Pérez Pérez5Noelia Lacasa Pérez6Juan Bernardo Cabezuelo Romero7Servicio de Nefrología, Hospital General Universitario Reina Sofía, Murcia, SpainServicio de Radiología Vascular, Hospital General Universitario Reina Sofía, Murcia, SpainServicio de Cirugía, Clínica Mesa del Castillo, Murcia, SpainServicio de Nefrología, Hospital General Universitario Reina Sofía, Murcia, SpainServicio de Nefrología, Hospital General Universitario Reina Sofía, Murcia, SpainServicio de Nefrología, Hospital General Universitario Reina Sofía, Murcia, SpainServicio de Radiología Vascular, Hospital General Universitario Reina Sofía, Murcia, SpainServicio de Nefrología, Hospital General Universitario Reina Sofía, Murcia, SpainThe aim of the study was to analyse outcomes of AVF-RC in predialysis stage in which a clinical and radiological follow up of its maturation had been done and primary failure had been treated. Material and methods: We studied 127 RC-AVF in 117 predialysis patients. All cases had a preoperative map. The RC-AVF was considered mature if it had a brachial artery flow ≥500 ml/min and a cephalic vein diameter of ≥4 mm. Primary failure was treated radiologically or surgically depending on the type of lesion. Fifty-eight patients started dialysis at the time of the study. Results: In 106 RC-AVF without thrombosis, 72 (68%) were mature and 34 (32%) were immature. A total of 97% of the immature had at least one lesion, and the most common site was the post-anastomotic vein. Lesions were found in 31% of mature RC-AVF, and 18% of patients required treatment. Radiological treatment was the most frequent for maturation failure. After 6 months, primary and secondary patency were 59% and 78%, while after 12 months they were 48% and 77%, respectively. The 80% of patients started dialysis with a distal AVF (76% RC-AVF and 4% ulnar basilic). None of the patients with treated immature RC-AVF started dialysis with CVC, while 78% of the patients started with said AVF. Conclusion: Ultrasonography for monitoring maturation provides advantages over clinical monitoring. With our management of RC-AVF in predialysis, 80% of patients start dialysis with an adequate distal AVF.http://www.sciencedirect.com/science/article/pii/S2013251416300281Radiocephalic arteriovenous fistulaPredialysisFailure of maturationUltrasonography |
| spellingShingle | Salomé Muray Cases José García Medina Juan Mariano Pérez Abad Alberto Javier Andreu Muñoz Fernanda Ramos Carrasco Antonio Pérez Pérez Noelia Lacasa Pérez Juan Bernardo Cabezuelo Romero Importance of monitoring and treatment of failed maturation in radiocephalic arteriovenous fistula in predialysis: Role of ultrasound Nefrología (English Edition) Radiocephalic arteriovenous fistula Predialysis Failure of maturation Ultrasonography |
| title | Importance of monitoring and treatment of failed maturation in radiocephalic arteriovenous fistula in predialysis: Role of ultrasound |
| title_full | Importance of monitoring and treatment of failed maturation in radiocephalic arteriovenous fistula in predialysis: Role of ultrasound |
| title_fullStr | Importance of monitoring and treatment of failed maturation in radiocephalic arteriovenous fistula in predialysis: Role of ultrasound |
| title_full_unstemmed | Importance of monitoring and treatment of failed maturation in radiocephalic arteriovenous fistula in predialysis: Role of ultrasound |
| title_short | Importance of monitoring and treatment of failed maturation in radiocephalic arteriovenous fistula in predialysis: Role of ultrasound |
| title_sort | importance of monitoring and treatment of failed maturation in radiocephalic arteriovenous fistula in predialysis role of ultrasound |
| topic | Radiocephalic arteriovenous fistula Predialysis Failure of maturation Ultrasonography |
| url | http://www.sciencedirect.com/science/article/pii/S2013251416300281 |
| work_keys_str_mv | AT salomemuraycases importanceofmonitoringandtreatmentoffailedmaturationinradiocephalicarteriovenousfistulainpredialysisroleofultrasound AT josegarciamedina importanceofmonitoringandtreatmentoffailedmaturationinradiocephalicarteriovenousfistulainpredialysisroleofultrasound AT juanmarianoperezabad importanceofmonitoringandtreatmentoffailedmaturationinradiocephalicarteriovenousfistulainpredialysisroleofultrasound AT albertojavierandreumunoz importanceofmonitoringandtreatmentoffailedmaturationinradiocephalicarteriovenousfistulainpredialysisroleofultrasound AT fernandaramoscarrasco importanceofmonitoringandtreatmentoffailedmaturationinradiocephalicarteriovenousfistulainpredialysisroleofultrasound AT antonioperezperez importanceofmonitoringandtreatmentoffailedmaturationinradiocephalicarteriovenousfistulainpredialysisroleofultrasound AT noelialacasaperez importanceofmonitoringandtreatmentoffailedmaturationinradiocephalicarteriovenousfistulainpredialysisroleofultrasound AT juanbernardocabezueloromero importanceofmonitoringandtreatmentoffailedmaturationinradiocephalicarteriovenousfistulainpredialysisroleofultrasound |