Surgical anatomy of upper arm: what is needed for AVF planning.
The majority of patients with end-stage renal disease (ESRD) have anatomy suitable for arteriovenous fistula creation. Clinical examination supplemented with duplex Doppler vessel mapping plays a crucial role in evaluation of the anatomy to plan dialysis access in a given patient. Access planning should take into consideration the overall health status and longevity of the ESRD patient on dialysis and potential for the access failure. Accordingly, access planning should involve not only a plan for the initial procedure, but include an algorithm to provide an access sequence to support the patient through the entire ESRD life.
Shenoy
Surendra
S
Washington University School of Medicine, Barnes Jewish Hospital, St. Louis, MO, USA. shenoy@wudosis.wustl.edu
D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects; D001916:Brachial Artery / Q000000981:diagnostic imaging; D002985:Clinical Protocols; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D017534:Radial Artery / Q000000981:diagnostic imaging; D006435:Renal Dialysis; D013997:Time Factors; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex; D034941:Upper Extremity / Q000098:blood supply*; D014680:Veins / Q000000981:diagnostic imaging