Maximizing Native Arteriovenous Fistulae Rates.
NCT02705417 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 136
Last updated 2016-03-10
Summary
The purpose of our study is to compare physical examination alone to color Doppler ultrasonography (CDUS) vascular mapping and physical examination in terms of outcomes of vascular access and long-term patency.
Conditions
- Kidney Failure
- Arteriovenous Shunt
- Hemodialysis
Interventions
- PROCEDURE
-
preoperative color Doppler ultrasonographic vascular mapping
Preoperative color Doppler ultrasonographic vascular mapping was performed with linear probe. The patient extremity under scrutiny was placed under support, with tourniquet augmentation. Vessels were examined in both short (transverse) and long (longitudinal) axis. Anatomical variations, wall morphology and internal diameters at the antecubital fossa, the proximal (cranial), mid and distal (caudal) third of the arm and forearm were assessed in both extremities. Veins were evaluated for compressibility and adequate drainage to deep venous system. The presence of sclerotic, thrombosed and fibrosed segments were noted. Doppler waveforms were obtained in the long axis and volume flow (VF) calculated for arteries selected for potential access construction.
- PROCEDURE
-
physical examination
Arterial pulse examination, differential blood pressure measurements and the Allen test in both extremities. Inspection of the superficial venous system with tourniquet enhancement in the arm was performed during venous assessment.
- PROCEDURE
-
medical history
medical history with respects to diabetes mellitus, coronary heart disease, peripheral vascular disease
- PROCEDURE
-
native arteriovenous fistula construction
surgigal creation of native arterial and venous anastomoses
- PROCEDURE
-
arteriovenous graft placement
surgical placement of arteriovenous graft
Sponsors & Collaborators
-
International Renal Research Institute Vicenza
collaborator OTHER -
Medifil AE
lead OTHER
Principal Investigators
-
Ioannis E. Giannikouris, PhD · Medifil AE Private Hemodialysis Centre
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2012-01-31
- Primary Completion
- 2014-01-31
- Completion
- 2015-01-31
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