#3866 PREOPERATIVE ASSESSMENT FOR VASCULAR ACCESS: VASCULAR MAPPING AND HANDGRIP STRENGTH
نویسندگان
چکیده
Abstract Background and Aims A reliable vascular access (VA) is required for patients receiving chronic hemodialysis (HD) treatment. VA choice complex must consider patient characteristics, predicted patency risk of primary failure. Vascular mapping (VM) by duplex doppler ultrasonography (DUS) can aid in the planning which to place. Peripheral artery disease (PAD) associated with higher AVF failure be assessed calculating ankle-brachial index (ABI). Muscle strength independently mortality evaluated handgrip (HGS). This study aims describe analyze clinical anthropometric laboratory characteristics referred prior creation correlate VM data, HGS, ABI. Method Prospective analysis all adult CKD who were VM, at a tertiary center, between March 2021 August 2021. No excluded. Preoperative DUS single experienced nephrologist was carried out. HGS measured using Hand Dynamometer PAD defined as ABI<0.9. According distal vasculature size (<2mm) sub-groups analyzed. Results 80 included 67.5% male, mean age 65.7 ± 14.7 years 51.3% on Renal Replacement Therapy (RRT). Twelve (15%) participants had PAD. dominant arm (20.5 12.0 kg vs 18.8 11.2 kg). Fifty-eight (72.5%) vessels smaller than 2 mm diameter. There no significant differences groups concerning demographic comorbidities (diabetes, PAD). significantly greater or equal diameter (26.1 15.5 18.4 9.7 kg, p = 0.010). Conclusion Greater more developed vessels. Low might an indirect sign poor help predict outcomes maturation.
منابع مشابه
Preoperative assessment and planning of haemodialysis vascular access
Effective haemodialysis (HD) requires a reliable vascular access (VA). Clinical practice guidelines strongly recommend the arteriovenous fistula (AVF) as the preferred VA in HD patients. The creation of an AVF should be promoted in all eligible patients who choose HD, as it improves outcomes and reduces costs when compared with central venous catheters. Fistula eligibility is a 'work in progres...
متن کاملVascular Function and Handgrip Strength in Rheumatoid Arthritis Patients
OBJECTIVE To examine the relationship of handgrip strength with forearm blood flow (BF) and vascular resistance (VR) in rheumatoid arthritis (RA) patients. METHODS Forearm BF at rest (RBF) and after upper arm occlusion (RHBF), and handgrip strength were examined in 78 individuals (RA = 42 and controls (CT) = 36). Subsequently, VR at rest (RVR) and after occlusion (RHVR) were calculated. RES...
متن کاملVASCULAR ACCESS FOR HEMODIALYSIS: OUR EXPERIENCE WITH 3337 CASES
Over a seven year period from 1982 to 1989,3337 conduits were created in 3137 patients with end stage renal disease (ESRD) as access for chronic dialysis. These included 2690 side-to-side arteriovenous fistulae (A VF), 168 end-to-side A VFs, 10 autogenous vein grafts, 51 homogenous frozen vein grafts, 109 polytetrafluoroethylene (PTFE) grafts, 209 emergency external arteriovenous shunts, t...
متن کاملAIUM Practice Parameter for the Performance of Ultrasound Vascular Mapping for Preoperative Planning of Dialysis Access.
متن کامل
Disparities in fistula maturation persist despite preoperative vascular mapping.
BACKGROUND AND OBJECTIVES Failure to mature (primary failure) of new fistulas remains a major obstacle to increasing the proportion of dialysis patients with fistulas. This failure rate is higher in women than in men, higher in older than in younger patients, and higher in forearm than in upper arm fistulas. These disparities in the frequency of failure to mature may be due in part to marginal ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Nephrology Dialysis Transplantation
سال: 2023
ISSN: ['1460-2385', '0931-0509']
DOI: https://doi.org/10.1093/ndt/gfad063c_3866