The Necessity for Routine Pre-operative Ultrasound Mapping Before Arteriovenous Fistula Creation: A Meta-analysis

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
G S GeorgiadisM K Lazarides

Abstract

Existing guidelines suggest routine use of pre-operative color Doppler ultrasound (DUS) vessel mapping before the creation of arteriovenous fistulae (AVF); however, there is controversy about its benefit over traditional clinical examination or selective ultrasound use. This was a systematic review and meta-analysis of randomized controlled trials (RCTs) comparing routine DUS mapping before the creation of AVF with patients for whom the decision for AVF placement was based on clinical examination and selective ultrasound use. A search of MEDLINE/PubMed, SCOPUS, and the Cochrane Library was carried out in June 2014. The analyzed outcome measures were the immediate failure rate and the early/midterm adequacy of the fistula for hemodialysis. Additionally, assessment of the methodological quality of the included studies was carried out. Five studies (574 patients) were analyzed. A random effects model was used to pool the data. The pooled odds ratio (OR) for the immediate failure rate was 0.32 (95% confidence interval [CI] 0.17-0.60; p < .01), which was significantly in favor of the DUS mapping group. The pooled OR for the early/midterm adequacy for hemodialysis was 0.66 (95% CI 0.42-1.03; p = .06), with a trend in favor of the DUS...Continue Reading

References

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Citations

Jan 23, 2016·Clinical Kidney Journal·Agnes MasenguJennifer B Hanko
Jan 26, 2016·Journal of Vascular Surgery·Agnes MasenguJennifer B Hanko
Mar 16, 2017·The Journal of Vascular Access·Jernej Pajek, Marko Malovrh
Mar 16, 2017·The Journal of Vascular Access·Niek ZonnebeldJan H M Tordoir
Oct 14, 2017·The Journal of Vascular Access·Gaetano AlfanoGianni Cappelli
Sep 7, 2018·Current Opinion in Nephrology and Hypertension·William Beaubien-SoulignyAndré Denault
Nov 15, 2019·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Conor-James MacDonaldJohn Graeme Houston
Jan 14, 2021·Biomedical Physics & Engineering Express·Conor-James MacDonaldJohn Graeme Houston
Mar 13, 2021·Nefrología : publicación oficial de la Sociedad Española Nefrologia·Anna LimaAna Germano
Apr 20, 2021·Nefrología : publicación oficial de la Sociedad Española Nefrologia·Eduardo Mateos TorresAlbert Clará Velasco
Jun 8, 2021·International Urology and Nephrology·Siddharth Venkat RamananMohan V Bhojaraja
Jul 6, 2021·Clinical Kidney Journal·Peter BalážStephen O'Neill
Jul 26, 2021·Journal of Vascular Surgery·Alexa MordhorstJonathan Misskey
Sep 3, 2021·The Journal of Vascular Access·Lawrie KaterinaBalaz Peter
Sep 24, 2021·The Journal of Vascular Access·Javier CarbayoMarian Goicoechea
Sep 28, 2021·The Journal of Vascular Access·Joaquim VallespinJose Ibeas
Sep 28, 2017·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Niek ZonnebeldJan H M Tordoir

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