Value of Preoperative Sonographic Vascular Evaluation of Haemodialysis Access in Upperlimb
Objective: To know the value of preoperative Dopplerultrasonography vascular mapping of upper limb for hemodialysis access placement. Materials and Methods: Prospective ultrasonographic assessment of upper extremity vessels was performed in 60 patients prior to hemodialysis access placement and p...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2014-12-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/5238/8944_CE(Ra)_F(Sh)_PF1(PAK)_PFA(Sh)_PF2(PAG).pdf |
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| author | Aishwarya.K.C M.G.Srinath Sanjay C.Desai Ashok Kumar A Chandrashekar AR Gowtham Gowda A.G |
| author_facet | Aishwarya.K.C M.G.Srinath Sanjay C.Desai Ashok Kumar A Chandrashekar AR Gowtham Gowda A.G |
| author_sort | Aishwarya.K.C |
| collection | DOAJ |
| description | Objective: To know the value of preoperative Dopplerultrasonography vascular mapping of upper limb for hemodialysis
access placement.
Materials and Methods: Prospective ultrasonographic assessment of upper extremity vessels was performed in 60 patients
prior to hemodialysis access placement and potential access
sites were selected (based on the standard criteria). The findings
were correlated with the operative findings. Discrepancies
found between ultrasonographic and operative findings were
analysed.
Results: All the 60 patients who underwent vascular mapping had
vascular access placed. 80% of them had native arteriovenous
fistulae (AVF) placed. In 95% of patients, at the selected sites,
the vascular parameters as determined by ultrasonography
matched with the operative findings. In 5% of patients there
were discrepancies between the ultrasonography findings and
operative findings. There was no negative surgical exploration.
There was strong correlation between the diameters measured
by ultrasonography and surgery.
Conclusion: Preoperative ultrasonography vascular mapping
prior to hemodialysis access placement has facilitated definite
selection of potential sites in difficult patient population in
whom evaluation by physical examination was inconclusive. It
also helped in maximizing the native AVFs and decreasing the
negative surgical exploration rates. |
| first_indexed | 2024-12-11T17:30:08Z |
| format | Article |
| id | doaj.art-d3bda6fa56ad445c997fd58960b2a73f |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-11T17:30:08Z |
| publishDate | 2014-12-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-d3bda6fa56ad445c997fd58960b2a73f2022-12-22T00:56:51ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2014-12-01812RC06RC1010.7860/JCDR/2014/8944.5238Value of Preoperative Sonographic Vascular Evaluation of Haemodialysis Access in UpperlimbAishwarya.K.C0M.G.Srinath1Sanjay C.Desai2Ashok Kumar A3Chandrashekar AR4Gowtham Gowda A.G5Assistant Professor, Department of Radiodiagnosis, K.V.G Medical College & Hospital, Sullia, India.Professor,Department of Radiodiagnosis, MS Ramaiah Medical College Hospitals, Bangalore, India.Professor, Department of Vascular and Endovascular surgery, MS Ramaiah Medical College Hospitals, Bangalore, India.Professor, Department of Radiodiagnosis, MS Ramaiah Medical College Hospitals, Bangalore, India.Associate Professor, Department of Vascular & Endovascular Surgery, MS Ramaiah Medical College Hospitals, Bangalore, India.Assistant Professor, Department of Radiodiagnosis, K.V.G Medical College & Hospital, Sullia, India.Objective: To know the value of preoperative Dopplerultrasonography vascular mapping of upper limb for hemodialysis access placement. Materials and Methods: Prospective ultrasonographic assessment of upper extremity vessels was performed in 60 patients prior to hemodialysis access placement and potential access sites were selected (based on the standard criteria). The findings were correlated with the operative findings. Discrepancies found between ultrasonographic and operative findings were analysed. Results: All the 60 patients who underwent vascular mapping had vascular access placed. 80% of them had native arteriovenous fistulae (AVF) placed. In 95% of patients, at the selected sites, the vascular parameters as determined by ultrasonography matched with the operative findings. In 5% of patients there were discrepancies between the ultrasonography findings and operative findings. There was no negative surgical exploration. There was strong correlation between the diameters measured by ultrasonography and surgery. Conclusion: Preoperative ultrasonography vascular mapping prior to hemodialysis access placement has facilitated definite selection of potential sites in difficult patient population in whom evaluation by physical examination was inconclusive. It also helped in maximizing the native AVFs and decreasing the negative surgical exploration rates.https://jcdr.net/articles/PDF/5238/8944_CE(Ra)_F(Sh)_PF1(PAK)_PFA(Sh)_PF2(PAG).pdfarterio-venous fistulahemodialysis access placementupper limb vascular mapping |
| spellingShingle | Aishwarya.K.C M.G.Srinath Sanjay C.Desai Ashok Kumar A Chandrashekar AR Gowtham Gowda A.G Value of Preoperative Sonographic Vascular Evaluation of Haemodialysis Access in Upperlimb Journal of Clinical and Diagnostic Research arterio-venous fistula hemodialysis access placement upper limb vascular mapping |
| title | Value of Preoperative Sonographic Vascular Evaluation of Haemodialysis Access in Upperlimb |
| title_full | Value of Preoperative Sonographic Vascular Evaluation of Haemodialysis Access in Upperlimb |
| title_fullStr | Value of Preoperative Sonographic Vascular Evaluation of Haemodialysis Access in Upperlimb |
| title_full_unstemmed | Value of Preoperative Sonographic Vascular Evaluation of Haemodialysis Access in Upperlimb |
| title_short | Value of Preoperative Sonographic Vascular Evaluation of Haemodialysis Access in Upperlimb |
| title_sort | value of preoperative sonographic vascular evaluation of haemodialysis access in upperlimb |
| topic | arterio-venous fistula hemodialysis access placement upper limb vascular mapping |
| url | https://jcdr.net/articles/PDF/5238/8944_CE(Ra)_F(Sh)_PF1(PAK)_PFA(Sh)_PF2(PAG).pdf |
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