Hemodialysis access assessment with intravascular ultrasound

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
Armin Arbab-ZadehValmik Bhargava

Abstract

Reliable identification and treatment of specific hemodialysis access complications may improve access patency and result in significant cost reduction. Angiography is the gold standard for the evaluation of vascular access; however, it has significant limitations. Intravascular ultrasound (IVUS) is a relatively new technique capable of detecting subtle vascular abnormalities. To investigate the safety, feasibility, and accuracy of IVUS imaging to detect hemodialysis access complications, including stenoses, graft deterioration, and thrombus, we performed 31 IVUS imaging studies in 22 hemodialysis patients. Nineteen studies were performed in the dialysis unit, and 12 studies in the angiography suite. The IVUS catheter was inserted into the graft through the access used for hemodialysis. Findings of 21 studies (17 patients) imaged on the same day by both angiography and IVUS were compared. Grafts and vessels were successfully imaged using IVUS in 29 of 31 studies. There were no adverse effects caused by IVUS. Angiography assessed 17 of 54 vessel segments as normal versus 9 of 54 segments by IVUS (P < 0.001). Angiography detected lesions in 25 segments as opposed to 33 segments by IVUS (P < 0.001). A thrombus was detected in 32 o...Continue Reading

References

Aug 11, 1992·The American Journal of Cardiology·K RosenfieldJ M Isner
Jul 1, 1991·Circulation·R J SiegelJ S Forrester
Oct 1, 1989·Kidney International·S J SchwabR R Bollinger
May 1, 1993·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·D W Windus
May 1, 1993·Kidney International·H I FeldmanJ A Berlin
Jul 1, 1996·Catheterization and Cardiovascular Diagnosis·B W Batkoff, D T Linker
Mar 1, 1997·Journal of Vascular and Interventional Radiology : JVIR·K L Sullivan, A Besarab
Nov 14, 1997·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·A BesarabF Escobar
Apr 29, 1998·Ultrasound in Medicine & Biology·W LiN Bom
Aug 26, 1998·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·M F GadallahJ Work
Dec 9, 1998·Kidney International·P J BosmanP J Blankestijn
Jun 10, 2000·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·W D PaulsonJ Work
Dec 19, 2000·European Journal of Ultrasound : Official Journal of the European Federation of Societies for Ultrasound in Medicine and Biology·G E MeadJ M Wardlaw
Feb 24, 2001·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·T HiguchiK Kanmatsuse
Mar 29, 2001·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·D J DeSotoW D Paulson

❮ Previous
Next ❯

Citations

Aug 1, 2008·Kidney International·Li LiAlfred K Cheung
May 30, 2012·Techniques in Vascular and Interventional Radiology·Salvatore J A Sclafani
Jul 17, 2004·Therapeutic Apheresis and Dialysis : Official Peer-reviewed Journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy·Terumi HiguchiKoichi Matsumoto
Feb 23, 2011·Seminars in Dialysis·Laura Maursetter, Alexander S Yevzlin
Dec 20, 2005·Blood Purification·Anatole Besarab
Jan 30, 2014·The Journal of Vascular Access·Patrick E CaseyPeter M Woodhead
May 23, 2019·The Journal of Vascular Access·Joana Gameiro, Jose Ibeas
Jan 29, 2020·The Journal of Vascular Access·Daniel Patel
Feb 16, 2010·The Journal of Vascular Access·A Frederick Schild

❮ Previous
Next ❯

Related Concepts

Related Feeds

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.