POS-618 INTERMITTENT PNEUMATIC COMPRESSION PROMOTES PRE-SURGERY CEPHALIC VEIN DILATION
نویسندگان
چکیده
Arteriovenous fistulas (AVF) are the preferred for hemodialysis access with suitable (2.0-2.5 mm) veins. AVF maturation has been poor globally and often leads to increased catheter contact time costs. Intermittent compression of upper arm veins may aid in forearm vein dilation pre-surgery assist placement size expectations. This is was a prospective, IRB approved trial. A novel intermittent pneumatic device [Fist Assist® (FA)] applied arms below shoulder allow cyclic 60 mm Hg four hours daily 90 days. Sixteen (n=16) Stage 4 chronic renal failure (CRF) patients were study test cephalic dilation. Vein measured recorded at baseline after days by duplex measurement tourniquet. Clinical results: particular locations tested significance using paired-difference t-test. mostly African American involved first interim evaluation USA FACT All compliance followed protocol. No major complications or adverse effects noted any patient except one non-device related rash. Differences measurements done cuff sizes (FA) (UA). Both significant. FA3M : 3-Month- diameter (AP), cuff, 5 cm from radial bone UA3M 1 above elbow UA Enrollment-Vein FA Difference between mean (UA3M-UA) t = 1.74, p-value 0.05 (FA3m-FA) 1.72, 0.04 For Effectiveness: FA: 18% > 2.5 33% reached 2.0 greater UA: 44% >2.5mm 20% 3.0 Early application novel, be successful preparing CRF patients. The early results trial show statistical improvement, distensibility, clinical effectiveness reach predetermined goals.
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ژورنال
عنوان ژورنال: Kidney International Reports
سال: 2021
ISSN: ['2468-0249']
DOI: https://doi.org/10.1016/j.ekir.2021.03.647