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| The clinical application value of ultrasonography in arteriovenous fistula of end stage renal disease |
| HUANG Yong LIU Xingzhao HUANG Rui YANG Jian HU Qingmao▲ |
| Department of Ultrasound, Jiangjin District Central Hospital of Chongqing City, Chongqing 402260, China |
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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.
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