Type:
Educational Exhibit
Keywords:
Education and training, Structured reporting, Education, Complications, Ultrasound, Catheter arteriography, Vascular
Authors:
R. A. M. A. Helal1, P. M. A. D. Mohamed Abouelhoda1, A. Mugahid1, S. Salah1, M. M. M. Ashour2, M. A. Abo El Ela1, R. N. M. Abdalla3, A. D. Metry1, A. H. A. H. Ibrahim1; 1Cairo/EG, 2Cairo, New Cairo/EG, 3Cairo, ca/EG
DOI:
10.26044/ecr2019/C-3608
Background
End stage renal disease is one of the most common death-causing diseases worldwide,
its increasing prevalence has resulted in the necessity to focus on delivery of vascular access care for hemodialysis; a reliable vascular access for haemodialysis has become highly needed.
Duplex Doppler ultrasound has a unique ability to evaluate both structural and functional aspects of the fistula and its draining vessels,
making it the preferred non-invasive imaging modality for access planning and follow-up.
CT study may also be used as a fast,
noninvasive,
and accurate technique for diagnosing AVF complications,
yet it’s of higher cost.
In comparison to prosthetic arteriovenous grafts and central venous catheters,
autogenous arteriovenous hemodialysis accesses have higher patency rates,
reduced complications,
thus they’re preferred.
Arterio-venous fistulas can provide long-term function rather than dialysis catheters,
which are associated with a higher mortality.
Imaging evaluation of vascular access for HD encompasses preoperative assessment of vascular anatomy as well as post-operative surveillance for access maturation and diagnosis of vascular access dysfunction.