Dialysis needle hemodynamics in arterio-venous fistulae: a technical report.
BACKGROUND
Vascular access is the lifeline for end-stage renal disease patients needing hemodialysis treatment. For dialysis treatment two needles are placed into the vascular access. Few studies on needle hemodynamics have been published.


METHODS
We investigated needle hemodynamics by means of Doppler ultrasonography, both in B-mode and in pulsed Doppler mode.


RESULTS
Direct visualization of the needles, turbulence around the arterial needle and blood flow jet from the venous needle are presented.


CONCLUSIONS
Ultrasound investigation of the hemodynamics of the dialysis needles is feasible. The extreme blood flow jet through the arterial needle was directed in all patients to the anterior vessel wall.
Tuka
Vladimir
V
Third Department of Internal Medicine, General University Hospital, Charles University, Prague 2, 128 08, Czech Republic. Vladimir.Tuka@vfn.cz
Wijnen
Edwin
E
van der Sande
Frank M
FM
Tordoir
Jan H M
JH
D001166:Arteriovenous Shunt, Surgical; D001916:Brachial Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D016121:Brachiocephalic Veins / Q000000981:diagnostic imaging / Q000503:physiopathology; D005260:Female; D006439:Hemodynamics; D006801:Humans; D007676:Kidney Failure, Chronic / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009339:Needles; D017534:Radial Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D006435:Renal Dialysis / Q000295:instrumentation*; D018617:Ultrasonography, Doppler, Pulsed; D034941:Upper Extremity / Q000098:blood supply*