Abstract:Objective To investigate the value of ultrasonography in preoperative evaluation and postoperative dynamic monitoring of vascular access in patients with end stage renal disease have arteriovenous fistula. Methods Eighty-four ESRD patients with AVF admitted to Jiangjin District Central Hospital of Chongqing from January 2016 to November 2017 were selected. Preoperative evaluation and postoperative detection of artificial arteriovenous vascular access were performed by ultrasonography. Results In 84 cases of ESRD patients who were preambulatory AVF, 5 cases were found unsuitable for AVF by ultrasonography, and were selected other pathways for dialysis. In the remaining 79 patients underwent AVF, ultrasonography revealed that 16 patients failed to achieve fistula due to various postoperative complications, and guided clinical interventions. Conclusion Ultrasonography can accurately guide clinicians to select appropriate arteriovenous blood vessels and improve the success rate of fistula operation in ESRD patients undergoing AVF preoperative artificial arteriovenous vascular access function assessment. In addition, dynamic monitoring of arteriovenous internal fistula function, complications and hemodynamic status after operation is of great significance in guiding further clinical treatment.
黄永 刘兴钊 黄蕊 杨建 胡青茂▲. 超声诊断技术在终末期肾脏疾病动静脉造瘘中的临床应用价值[J]. 中国医药导报, 2018, 15(34): 140-143,148.
HUANG Yong LIU Xingzhao HUANG Rui YANG Jian HU Qingmao▲. The clinical application value of ultrasonography in arteriovenous fistula of end stage renal disease. 中国医药导报, 2018, 15(34): 140-143,148.
[1] Vascular Access Work Cuoup. Clinical practice guidelines for vascular access [J]. Am J Kidney Dis,2006,48(1):248-273.
[2] Malovrh M. Native arteriovenous fistula:preoperative evaluation [J]. Am J Kidney Dis,2002,39(6):1218-1225.
[3] Wong V,Ward R,Taylor J,et al. Reprinted article“Factors associated with early failure of arteriovenous fistulae for haemodialysis access” [J]. Eur J Vasc Endovasc Surg,2011, 42(1):48-54.
[4] Usta E,Elkrinawi R,Salehi-Gilani S,et al. Risk factors predicting the successful function and use of autogenous arteriovenous fistulae for hemodialysis [J]. Thorac Cardiovasc Surg,2013,61(5):438-444.
[5] Santoro D,Benedetto F,Mondello P,et al. Vascular access for hemodialysis:current perspectives [J]. Int J Nephrol Renovasc Dis,2014,2014:281-294.
[6] Asif A,Roy-Chaudhury P,Beathard GA. Early arteriovenous fistula failure:a logical proposal for when and how to intervene [J]. Clin J Am Soc Nephrol,2006,1(2):332-339.
[7] Usta E,Elkrinawi R,Salehi-Gilani S,et al. Risk factors predicting the successful function and use of autogenous arteriovenous fistulae for hemodialysis [J]. Thorac Cardiovasc Surg,2013,61(5):438-444.
[8] Sato T,Tsuboi M,Onogi T,et al. Standard procedures of endovascular treatment for vascular access stenosis in our facility:clinical usefulness of ultrasonography [J]. Vasc Access,2015,16(10):34-37.
[9] Wo K,Morrison BJ,Harada RN. Developing duplex ultrasound criteria for diagnosis of arteriovenous fistula stenosis [J]. Ann Vasc Surg,2017,38:99-104.
[10] Abreo K,Buffington M,Sachdeva B. Angioplasty to promote arteriovenous fistula maturation and maintenance [J]. J Vasc Access,2018,19(4):112972981876097.
[11] Heye S,Maleux G,Vaninbroukx J,et al. Factors influencing technical success and outcome of percutaneous balloon angioplasty in de novo native hemodialysis arteriovenous fistulas [J]. Eur J Radiol,2012,81(9):2298-2303.