Bedside Ultrasonography for Arteriovenous Fistula Cannulation. Issue 4 (27th May 2015)

• Record Type: Journal Article
• Authors: Patel, Roshan A.; Stern, Aaron S.; Brown, Maritza; Bhatti, Saad
• Is Part Of: Seminars in dialysis. Volume 28:Issue 4(2015)
• Page Start: 433
• Page End: 434
• Publication Date: 2015-05-27
• Subjects: Hemodialysis -- Periodicals; Dialysis -- Periodicals; Renal Dialysis -- Periodicals; 617.461059
• DOI: 10.1111/sdi.12394
• Languages: English
• ISSNs: 0894-0959

Abstract

<abstract abstract-type="main" id="sdi12394-abs-0001"> <title>Abstract</title> <p>Difficulty in accessing a new arteriovenous fistula (AVF) is a common technical issue in hemodialysis patients, which often leads to interventional radiology and/or vascular surgery referral. As a consequence, the patient who needs dialysis may require a temporary dialysis catheter with its known potential complications. We present a case where bedside ultrasonography facilitated successful cannulation of a difficult AVF. Ultrasonography (US) training in this procedure may allow early cannulation of new AVFs when the venous diameter is large enough (&gt;0.6 cm) but the fistula is too deep (&gt;0.6 cm). Real‐time, US‐guided AVF cannulation may also decrease the number of failed venous punctures per hemodialysis (HD) session minimizing vessel wall damage and subsequent potential hematoma and aneurysm formation.</p> </abstract>