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A Murine Model of Hemodialysis Access-Related Hand Dysfunction
Published on: May 31, 2022
Clinical and ultrasound evaluation for hemodialysis access creation
Anna Lima1, Patrícia Carrilho1, Ana Germano2
1Nephrology Department - Hospital Prof Fernando Fonseca, Lisbon, Portugal.
Insights
Ultrasound and Doppler evaluations are crucial for planning hemodialysis vascular access in chronic kidney disease (CKD) patients. This imaging helps determine the best access based on individual anatomy and patient needs for effective treatment.
Area of Science:
- Nephrology
- Vascular Surgery
- Radiology
Background:
- Chronic kidney disease (CKD) presents a growing global health challenge.
- Hemodialysis is the most common form of renal replacement therapy (RRT).
- Adequate and functioning vascular access is critical for effective hemodialysis treatment.
Purpose of the Study:
- To highlight the importance of ultrasound and Doppler in vascular access planning for CKD patients.
- To emphasize the role of imaging in selecting the optimal dialysis access.
- To inform healthcare providers about the utility of ultrasound in managing CKD patients requiring RRT.
Main Methods:
- Clinical assessment of patients with CKD.
- Ultrasound and Doppler evaluation of upper arm arterial and venous anatomy.
- Integration of patient characteristics, preferences, and vascular anatomy for access planning.
Main Results:
- Ultrasound imaging characterizes patient-specific arterial and venous anatomy.
- Information from ultrasound aids in selecting the most suitable vascular access.
- Access planning is optimized by combining clinical data with detailed vascular assessment.
Conclusions:
- Ultrasound and Doppler are fundamental tools for vascular access planning in hemodialysis.
- Familiarity with ultrasound techniques is essential for physicians managing CKD patients.
- Personalized access planning improves the efficacy of renal replacement therapy.
Abstract:
Chronic kidney disease (CKD) is an emerging global burden with an increasing number of patient's requiring renal replacement therapy (RRT), with hemodialysis being the most prevalent dialysis modality. A functioning vascular access remains the main constrain for an adequate treatment. Clinical and, in some patients, ultrasound evaluation are fundamental for better access planning. Access planning is dependent not only on patient clinical characteristics and preference but also in vascular patrimony. As such, ultrasound evaluation aids in characterizing patient arterial and venous upper arm anatomy and provides information for which access would better suit each patient. Doctors dealing with CKD patients should be familiar with the role of ultrasound and Doppler use in access planning.
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