Background: Haemodialysis (HD) is the mainstay treatment in patients with End stage renal disease (ESRD). Arteriovenous fistula (AVF) is current vascular access of choice and is more preferred than graft due to fewer incidences of complications. Doppler Ultrasound (DUS) can be used to assess the vessels used for AVF creation and post-operative monitoring of AVF maturation. This study aims to associate the pre-operative DUS findings with the outcome of the AVF, and hence to broaden the horizon of understanding the vascular access (VA) in HD procedure.

Methods: This was a prospective study conducted in Department of Radio diagnosis of our hospital over a period of one and half year. 43 patients with ESRD were included in the study. The morphological and Doppler parameters were assessed before and after AVF creation and findings were compared.

Results: Pre-operative diameter of the artery and the vein used for the AVF creation showed positive association with the AVF maturation and are important predictive factors for maintenance and well-functioning of the AVF in HD. Post-operative evaluation of flow volume in the AVF revealed that it is one of the important independent predictors of the maturation of the fistula.

Conclusion: Doppler ultrasonography assessment of the upper limb vessels is a roadmap for appropriate selection of the arteries and veins for the creation of the AVF, which helps in reducing the chances of AVF failure. .

Keywords: Arteriovenous Fistula; Doppler Ultrasound; End Stage Renal Disease

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Citation

Citation: Amogh A Anvekar. “Relationship between the Pre-Operative USG and Doppler Findings of the Upper Limb and the Outcome of the AV Fistula in Patients Undergoing Haemodialysis Access”.Acta Scientific Cancer Biology 7.9 (2023): 40-44.

Copyright

Copyright: © 2023 Amogh A Anvekar. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.