Effect of preoperative exercise on vascular caliber and maturation of arteriovenous fistula: the physicalfav trial, a randomized controlled study
| Autor: | Nicolás Macías, Soledad Manzano Grossi, Silvia Caldés, Yolanda Hernandez Hernandez, Marian Goicoechea, Belen Ramirez Senent, Inés Aragoncillo Sauco, Covadonga Hevia, Yésika Amézquita |
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| Rok vydání: | 2021 |
| Předmět: |
Nephrology
medicine.medical_specialty business.industry medicine.medical_treatment 030232 urology & nephrology Vascular access Arteriovenous fistula Isometric exercise 030204 cardiovascular system & hematology medicine.disease law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Caliber Internal medicine Cardiology Medicine Doppler ultrasound Hemodialysis business |
| Zdroj: | Journal of Nephrology. 34:763-771 |
| ISSN: | 1724-6059 1121-8428 |
| DOI: | 10.1007/s40620-020-00907-w |
| Popis: | Autologous arteriovenous fistula (AVF) is the best vascular access for hemodialysis. Distal forearm radiocephalic fistula is the best option, although the primary failure rate ranges from 20% to 50%. The main objective of the PHYSICALFAV trial was to evaluate the effect of preoperative isometric exercise on vascular caliber, percentage of distal arteriovenous fistula, and primary failure rate. The PHYSICALFAV trial (NCT03213756) is an open-label, multicenter, prospective, randomized, controlled trial (RCT). A total of 138 patients were randomized 1:1 to the exercise group (exercises combining a handgrip device and an elastic band for 8 weeks) or the control group (no exercise) and followed up with periodic Doppler ultrasound (DU) examinations. After 8 weeks of preoperative isometric exercise, in the exercise group, significant increases were detected in venous caliber (2.80 ± 0.95 mm vs 3.52 ± 0.93 mm [p |
| Databáze: | OpenAIRE |
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