Standardized Protocol for Hemodialysis Vascular Access Assessment: The Role of Ultrasound and ColorDoppler.

Abstract:

INTRODUCTION:Ultrasound and colorDoppler technique, which is relatively inexpensive, rapid, non-invasive and repeatable is a powerful tool used for early diagnosis of vascular access (VA) complications in hemodialysis patients. To date a standard and widely comprehensible echocolorDoppler (ECD) protocol is not available. MATERIALS AND METHODS:A simple step-by-step protocol based on anatomical and hemodynamic parameters of VA has been developed during a 3-years VA ECD follow-up. It consists of an ECD study scheme. The algorithm created involves the calculation of brachial artery flow, description of artero-venous and/or graft-vascular anastomosis and efferent vessel and/or graft. RESULTS:The algorithm allows to formulate a medical report that takes into account both anatomic and hemodynamic parameters of the VA. Reduction of complications and the prevention of chronic complications as well as the early detection of acute problems were achieved. DISCUSSION AND CONCLUSION:The creation of a step-by-step protocol may simplify the multidisciplinary management of VA, its monitoring and the early diagnosis of its complications.

journal_name

Blood Purif

journal_title

Blood purification

authors

Nalesso F,Garzotto F,Petrucci I,Samoni S,Virzì GM,Gregori D,Meola M,Ronco C

doi

10.1159/000485590

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

260-269

issue

1-3

eissn

0253-5068

issn

1421-9735

pii

000485590

journal_volume

45

pub_type

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