•  
  •  
 

Corresponding Author

Abdelrahman Ahmed Mohamed Elazhari

Document Type

Original Article

Abstract

Background: A significant percentage of the Egyptian population is affected by end-stage kidney disease, which requires long-term hemodialysis. For patients receiving regular hemodialysis, the arteriovenous fistula is now the method most frequently employed to provide vascular access. Objective: The current study's objective was to assess the role and utility of CDUS in assessing vascular access and identifying shunt complications for hemodialysis. Patients and methods: This prospective, randomized controlled trial investigation has been carried out at the Health Insurance Hospital Nasr City's radio-diagnosis department. We included a sample size of thirty patients who needed an arteriovenous fistula in the upper limb for hemodialysis. Patients ranged in age from 8 to 70 and were both male and female. Results: The majority of patients had normal vessel diameters. 6 patients (20%) have a BB fistula, 8 patients (26.7%) have an RC fistula, and 15 patients (50%) have a BC fistula. The study showed a mean age of AVF maturation occurs 2.17 ± 0.379 weeks after its 1st creation. 3 patients had an uncomplicated 10% and 27 patients had shunt complications of 90%. The investigation revealed a significant percentage of venous thrombosis (12 patients, 40%), stenosis (9 patients, 30%), aneurysmal dilatation (6 patients, 20%), pseudoaneurysmal formation (3 patients, 10%), and finally steal syndrome (3.3%, 1 patient). Conclusion: Early identification and repair of a failing hemodialysis fistula can improve the quality of hemodialysis treatment. For patients having AV dysfunction, the CDUS results from this series were useful in determining further treatment care.

Keywords

Color Doppler Ultrasonography; hemodialysis AV fistula.

Download

Share

COinS