One-year efficacy of the RUDI technique for flow reduction in high-flow autologous brachial artery-based hemodialysis vascular access

The Journal of Vascular Access
Roel H D VaesMarc R Scheltinga

Abstract

Flow reduction is advised in hemodialysis (HD) patients with a high-flow (>2 L/min) arteriovenous fistula (AVF). The revision using distal inflow (RUDI) technique is based on the premise that access flow is attenuated once inflow is provided by a smaller caliber forearm artery. Aim of the study was to evaluate the efficacy of RUDI during a 1-year follow-up. All HD patients undergoing a RUDI operation using a greater saphenous vein (GSV) or a basilic vein (BaV) interposition for a high-flow access (HFA, >2 L/min) during a 3.5-year time period were included. Serial access flow, percentage of freedom from recurrent high flow and complications were determined. A total of 19 HFA patients were studied (11 males, age 55 ± 3 years). All AVFs were brachial artery based (brachiocephalic, n = 14; brachiobasilic, n = 5). RUDI immediately reduced access flow by almost 2 L/min (3,080 ± 200 to 1,170 ± 160 mL/min (p = 0.001)). Access flows at 1, 6 and 12 months were 1,150 ± 160, 1,460 ± 200 and 1,580 ± 260 mL/min, respectively. Postoperative complications included insufficient flow reduction (n = 1, BaV) and occlusion requiring revision (n = 1, GSV). Recurrent HFA occurred three times (n = 2 BaV, n = 1 GSV). Access flows were significantly (p<...Continue Reading

References

Mar 5, 2002·Seminars in Dialysis·Ralf DikowEberhard Ritz
Nov 24, 2004·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Brian M MurrayDaniel Leary
Jul 30, 2005·Annals of Vascular Surgery·David J MinionEric Endean
Jun 13, 2006·Journal of Vascular Surgery·Jurgen ZanowHans Scholz
Aug 1, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·F van HoekJ H M Tordoir
Dec 6, 2006·Journal of Vascular Surgery·Juergen ZanowHans Scholz
Oct 19, 2007·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Carlo BasileNicola Losurdo
Apr 3, 2009·The Journal of Vascular Access·M R ScheltingaC M A Bruyninckx
May 12, 2009·Seminars in Dialysis·Frank van HoekCharles Beerenhout
Apr 3, 2010·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·P BourquelotA Raynaud
Nov 9, 2010·The Journal of Vascular Access·Chris J CallaghanGavin J Pettigrew
Jan 13, 2011·Hemodialysis International·Adam B Stern, Philip J Klemmer
Feb 11, 2012·Annals of Vascular Surgery·Lorraine CorfieldRick Bond
Dec 12, 2012·Seminars in Nephrology·Haimanot Wasse, M Salman Singapuri

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Citations

Mar 9, 2017·Canadian Journal of Kidney Health and Disease·Jennifer M MacRaeUNKNOWN Canadian Society of Nephrology Vascular Access Work Group
Mar 10, 2016·The Journal of Vascular Access·Stavros K KakkosDimitrios Karnabatidis
Mar 10, 2016·The Journal of Vascular Access·Pierre Bourquelot
Aug 18, 2018·Annals of Vascular Diseases·Takehisa Nojima, Yasuki Motomiya
Jan 15, 2019·Annals of Vascular Diseases·Ali KordzadehAli Davod Parsa
Aug 12, 2020·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Charmaine E LokUNKNOWN National Kidney Foundation
May 12, 2021·The Journal of Vascular Access·Vladimir MatoussevitchRobert Shahverdyan
Jun 15, 2021·The Journal of Vascular Access·Robert ShahverdyanVladimir Matoussevitch
Jul 21, 2021·The Journal of Vascular Access·N PirozziJ Malik
Aug 13, 2021·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Reshabh YadavMarc R M Scheltinga

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Software Mentioned

RUDI
SPSS

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