Baseline characteristics of arm vessels by preoperative duplex ultrasonography in Korean patients for hemodialysis vascular access

Background: Preoperative mapping with duplex ultrasonography is crucial for successful vascular access creation for hemodialysis. The aims of this study are to assess the baseline characteristics of arm vessels by preoperative duplex ultrasonography in Korean patients, to find out a preoperative dup...

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Bibliographic Details
Published in:The journal of vascular access 2019-11, Vol.20 (6), p.646-651
Main Authors: Cho, Minji, Kim, Jung Sun, Cho, Sungsin, Cho, Won Pyo, Choi, Chanjoong, Ahn, Sanghyun, Min, Sang-il, Ha, Jongwon, Min, Seung-Kee
Format: Article
Language:English
Subjects:
Aged
Arteriovenous Shunt, Surgical - adverse effects
Female
Humans
Kidney Failure, Chronic - diagnostic imaging
Kidney Failure, Chronic - physiopathology
Kidney Failure, Chronic - therapy
Male
Middle Aged
Predictive Value of Tests
Radial Artery - diagnostic imaging
Radial Artery - physiopathology
Radial Artery - surgery
Regional Blood Flow
Renal Dialysis
Retrospective Studies
Risk Factors
Seoul
Treatment Failure
Ultrasonography, Doppler
Upper Extremity - blood supply
Vascular Patency
Veins - diagnostic imaging
Veins - physiopathology
Veins - surgery
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Summary:Background: Preoperative mapping with duplex ultrasonography is crucial for successful vascular access creation for hemodialysis. The aims of this study are to assess the baseline characteristics of arm vessels by preoperative duplex ultrasonography in Korean patients, to find out a preoperative duplex ultrasonography parameter precluding distal arteriovenous fistula creation, to assess the maturation failure rate of arteriovenous fistulas, and to identify associated risk factors. Methods: Preoperative duplex ultrasonography mapping for vascular access creation was done in all patients with end-stage renal diseases during the year 2015. The baseline data of duplex ultrasonography were retrospectively analyzed with follow-up clinical data. Results: A total of 299 end-stage renal disease patients (mean age = 62 years, 62% male) were included. On preoperative duplex ultrasonography, mean diameters of radial artery and cephalic vein at wrist were 2.03 and 2.40 mm in the non-dominant arm and 2.10 and 2.26 mm in the dominant arm, respectively. The most common reason for precluding radial-cephalic arteriovenous fistula at wrist was small-sized cephalic vein. Multivariate logistic regression analysis revealed that the risk factors for inadequate vessels were warfarin treatment, old age (⩾75 years), and peripheral arterial occlusive disease. The rate of arteriovenous fistula maturation failure was 21% and vein diameter 
ISSN:1129-7298
1724-6032
DOI:10.1177/1129729819838168