AI Article Synopsis
- Ultrasound and color Doppler techniques provide an effective, non-invasive method for diagnosing complications in hemodialysis patients' vascular access.
- A new step-by-step protocol has been developed to systematically assess anatomical and hemodynamic parameters related to vascular access during a three-year follow-up.
- This protocol enhances medical reporting by considering both anatomy and blood flow, aiding in the prevention and early detection of complications, and improving overall patient management.
Article Abstract
Introduction: Ultrasound and colorDoppler technique, which is relatively inexpensive, rapid, non-invasive and repeatable is a powerful tool used for early diagnosis of vascular access (VA) complications in hemodialysis patients. To date a standard and widely comprehensible echocolorDoppler (ECD) protocol is not available.
Materials And Methods: A simple step-by-step protocol based on anatomical and hemodynamic parameters of VA has been developed during a 3-years VA ECD follow-up. It consists of an ECD study scheme. The algorithm created involves the calculation of brachial artery flow, description of artero-venous and/or graft-vascular anastomosis and efferent vessel and/or graft.
Results: The algorithm allows to formulate a medical report that takes into account both anatomic and hemodynamic parameters of the VA. Reduction of complications and the prevention of chronic complications as well as the early detection of acute problems were achieved.
Discussion And Conclusion: The creation of a step-by-step protocol may simplify the multidisciplinary management of VA, its monitoring and the early diagnosis of its complications.
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| http://dx.doi.org/10.1159/000485590 | DOI Listing |
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