What is new in the preoperative evaluation of arteriovenous access operation?
It is widely recognized that autogenous arteriovenous access is the preferred dialysis access of choice because of improved patency and low infection rate. It has been shown recently that preoperative ultrasound study to identify available venous conduits can increase the utilization of autogenous arteriovenous access. The article examines the clinical evidence to support this rationale and reviews the available portable ultrasound devices that enable surgeons to perform ultrasound examination in patients undergoing dialysis access operation.
Lin
Peter H
PH
Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston VAMC-2002 Holcombe Boulevard (112), Houston, TX 77030, USA.
Bush
Ruth L
RL
Chen
Changyi
C
Lumsden
Alan B
AB
D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects / Q000379:methods*; D002408:Catheters, Indwelling; D004867:Equipment Design; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000000981:diagnostic imaging* / Q000628:therapy; D008297:Male; D019095:Point-of-Care Systems; D011300:Preoperative Care / Q000295:instrumentation* / Q000379:methods; D006435:Renal Dialysis / Q000592:standards / Q000639:trends; D012680:Sensitivity and Specificity; D018608:Ultrasonography, Doppler