Current role of ultrasound in hemodialysis access evaluation
| Autor: | Jose Ibeas, Jan Malik, Meola Mario |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
B-Mode and pulsed wave Doppler
Vascular access point of care of ultrasound ultrasound instrumentation vascular access surveillance medicine.medical_specialty Standardization medicine.medical_treatment 030232 urology & nephrology Physical examination 030204 cardiovascular system & hematology Nephrologists 03 medical and health sciences 0302 clinical medicine Arteriovenous Shunt Surgical Renal Dialysis Original Research Articles Medicine Humans Turning point Intensive care medicine Physical Examination Dialysis Hemodialysis access Point of care Ultrasonography medicine.diagnostic_test business.industry Ultrasound Nephrology Surgery business |
| Zdroj: | The Journal of Vascular Access |
| ISSN: | 1724-6032 1129-7298 |
| Popis: | Physical examination (PE) is considered the backbone before vascular access (VA) placement, during maturation period and for follow-up. However, it may be inadequate in identifying suitable vasculature, mainly in comorbid patients, or in detecting complications. This review highlights the advantages of ultrasound imaging to manage VA before placement, during maturation and follow-up. Furthermore, it analyses the future perspectives in evaluating early and late VA complications thank to the availability of multiparametric platforms, point of care of ultrasound, and portable/wireless systems. Technical improvements and low-cost systems should favor the widespread ultrasound-based VA surveillance programs. This significant turning point needs an adequate training of nephrologists and dialysis nurses and the standardization of exams, parameters, and procedures. |
| Databáze: | OpenAIRE |
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