Study of the features of hemodynamic and clinical maturation of the native arteriovenous fistula for hemodialysis.
This is a prospective, single-center, observational study, investigating the clinical and hemodynamic features of maturation of hemodialysis native arteriovenous fistula (AVF). Hemodynamic features under investigation are the diameter of the feeding brachial artery, volume of flow (VF) measured with transcutaneous Duplex ultrasound (DUS), resistivity index (RI), diameter and wall thickness of the efferent vein, measured at days 1, 2, 3, 4, 5, 6, 7, 14, 21, 30, 60 and 90 post creation. Clinical features of maturation are the time of first access successful cannulation and the performance of three consecutive adequate dialysis sessions.
Study Type
OBSERVATIONAL
Enrollment
86
Transcutaneous Doppler ultrasound (DUS) study was performed at the mid brachial artery to assess diameter, VF and RI, and at the mid segment of the efferent vein to assess the diameter and wall thickness.
Mediterranean Hospital
Glyfada, Attica, Greece
Volume flow
Volume of flow in brachial artery in L/min
Time frame: day 1 post access creation
Volume flow
Volume of flow in brachial artery in L/min
Time frame: day 2 post access creation
Volume flow
Volume of flow in brachial artery in L/min
Time frame: day 3 post access creation
Volume flow
Volume of flow in brachial artery in L/min
Time frame: day 4 post access creation
Volume flow
Volume of flow in brachial artery in L/min
Time frame: day 5 post access creation
Volume flow
Volume of flow in brachial artery in L/min
Time frame: day 6 post access creation
Volume flow
Volume of flow in brachial artery in L/min
Time frame: day 7 post access creation
Volume flow
Volume of flow in brachial artery in L/min
Time frame: day 14 post access creation
Volume flow
Volume of flow in brachial artery in L/min
Time frame: day 21 post access creation
Volume flow
Volume of flow in brachial artery in L/min
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Time frame: day 28 post access creation
Volume flow
Volume of flow in brachial artery in L/min
Time frame: day 60 post access creation
Volume flow
Volume of flow in brachial artery in L/min
Time frame: day 90 post access creation
brachial artery diameter
Diameter of the Brachial artery in mm
Time frame: day 1 post access creation
brachial artery diameter
Diameter of the Brachial artery in mm
Time frame: day 2 post access creation
brachial artery diameter
Diameter of the Brachial artery in mm
Time frame: day 3 post access creation
brachial artery diameter
Diameter of the Brachial artery in mm
Time frame: day 4 post access creation
brachial artery diameter
Diameter of the Brachial artery in mm
Time frame: day 5 post access creation
brachial artery diameter
Diameter of the Brachial artery in mm
Time frame: day 6 post access creation
brachial artery diameter
Diameter of the Brachial artery in mm
Time frame: day 7 post access creation
brachial artery diameter
Diameter of the Brachial artery in mm
Time frame: day 14 post access creation
brachial artery diameter
Diameter of the Brachial artery in mm
Time frame: day 21 post access creation
brachial artery diameter
Diameter of the Brachial artery in mm
Time frame: day 28 post access creation
brachial artery diameter
Diameter of the Brachial artery in mm
Time frame: day 60 post access creation
brachial artery diameter
Diameter of the Brachial artery in mm
Time frame: day 90 post access creation
Resistive index RI
Calculation of the Resistive Index of the Brachial artery
Time frame: day 1 post access creation
Resistive index RI
Calculation of the Resistive Index of the Brachial artery
Time frame: day 2 post access creation
Resistive index RI
Calculation of the Resistive Index of the Brachial artery
Time frame: day 3 post access creation
Resistive index RI
Calculation of the Resistive Index of the Brachial artery
Time frame: day 4 post access creation
Resistive index RI
Calculation of the Resistive Index of the Brachial artery
Time frame: day 5 post access creation
Resistive index RI
Calculation of the Resistive Index of the Brachial artery
Time frame: day 6 post access creation
Resistive index RI
Calculation of the Resistive Index of the Brachial artery
Time frame: day 7 post access creation
Resistive index RI
Calculation of the Resistive Index of the Brachial artery
Time frame: day 14 post access creation
Resistive index RI
Calculation of the Resistive Index of the Brachial artery
Time frame: day 21 post access creation
Resistive index RI
Calculation of the Resistive Index of the Brachial artery
Time frame: day 28 post access creation
Resistive index RI
Calculation of the Resistive Index of the Brachial artery
Time frame: day 60 post access creation
Resistive index RI
Calculation of the Resistive Index of the Brachial artery
Time frame: day 90 post access creation
Diameter of the efferent vein
Diameter of the the efferent vein in mm
Time frame: day 1 post access creation
Diameter of the efferent vein
Diameter of the the efferent vein in mm
Time frame: day 2 post access creation
Diameter of the efferent vein
Diameter of the the efferent vein in mm
Time frame: day 3 post access creation
Diameter of the efferent vein
Diameter of the the efferent vein in mm
Time frame: day 4 post access creation
Diameter of the efferent vein
Diameter of the the efferent vein in mm
Time frame: day 5 post access creation
Diameter of the efferent vein
Diameter of the the efferent vein in mm
Time frame: day 6 post access creation
Diameter of the efferent vein
Diameter of the the efferent vein in mm
Time frame: day 7 post access creation
Diameter of the efferent vein
Diameter of the the efferent vein in mm
Time frame: day 14 post access creation
Diameter of the efferent vein
Diameter of the the efferent vein in mm
Time frame: day 21 post access creation
Diameter of the efferent vein
Diameter of the the efferent vein in mm
Time frame: day 28 post access creation
Diameter of the efferent vein
Diameter of the the efferent vein in mm
Time frame: day 60 post access creation
Diameter of the efferent vein
Diameter of the the efferent vein in mm
Time frame: day 90 post access creation
Wall thickness of the efferent vein
Wall thickness of the efferent vein in mm
Time frame: day 1 post access creation
Wall thickness of the efferent vein
Wall thickness of the efferent vein in mm
Time frame: day 2 post access creation
Wall thickness of the efferent vein
Wall thickness of the efferent vein in mm
Time frame: day 3 post access creation
Wall thickness of the efferent vein
Wall thickness of the efferent vein in mm
Time frame: day 4 post access creation
Wall thickness of the efferent vein
Wall thickness of the efferent vein in mm
Time frame: day 5 post access creation
Wall thickness of the efferent vein
Wall thickness of the efferent vein in mm
Time frame: day 6 post access creation
Wall thickness of the efferent vein
Wall thickness of the efferent vein in mm
Time frame: day 7 post access creation
Wall thickness of the efferent vein
Wall thickness of the efferent vein in mm
Time frame: day 14 post access creation
Wall thickness of the efferent vein
Wall thickness of the efferent vein in mm
Time frame: day 21 post access creation
Wall thickness of the efferent vein
Wall thickness of the efferent vein in mm
Time frame: day 28 post access creation
Wall thickness of the efferent vein
Wall thickness of the efferent vein in mm
Time frame: day 60 post access creation
Wall thickness of the efferent vein
Wall thickness of the efferent vein in mm
Time frame: day 90 post access creation
Time of first successful cannulation
Time period between access creation and first successful cannulation for hemodialysis
Time frame: 30 and 60 days
Successful hemodialysis
Three consecutive adequate hemodialysis sessions based on measurement of single pool kt/V
Time frame: 30 and 60 days
Primary patency
Percentage of total patent arteriovenous fistulae without the need of additional interventions assessed by transcutaneous dopler ultrasound
Time frame: 6 months
Surgeon-Nephrologist access site selection concordance
Record of the opinion regarding the site of vascular access creation between the nephrologist performing preoperative mapping and the surgeon performing access creation with the use of a questionaire
Time frame: At access creation (day 0)