Predicting the maturity of haemodialysis arteriovenous fistulas with colour Doppler ultrasound: a single-centre study from China
| Autor: | Hong Ding, Yu-li Zhu, J. Teng, W.-P. Wang, Q.-l. Gu, Pei-li Fan |
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| Rok vydání: | 2016 |
| Předmět: |
Male
China medicine.medical_specialty Fistula 030232 urology & nephrology 030204 cardiovascular system & hematology Anastomosis Sensitivity and Specificity Veins 03 medical and health sciences 0302 clinical medicine Renal Dialysis medicine.artery medicine Humans Radiology Nuclear Medicine and imaging Ultrasonography Doppler Color Brachial artery Radial artery Cephalic vein Receiver operating characteristic business.industry Anastomosis Surgical Graft Survival Ultrasound Reproducibility of Results General Medicine Blood flow Middle Aged medicine.disease Surgery Radial Artery business Nuclear medicine Blood Flow Velocity |
| Zdroj: | Clinical Radiology. 71:576-582 |
| ISSN: | 0009-9260 |
| Popis: | Aim To explore the optimal vascular diameter and blood flow measured by ultrasound to predict fistula maturity in Chinese patients. Materials and methods One hundred and thirty-two patients were enrolled in the study. The blood flow and the diameters of the brachial artery, radial artery, and cephalic vein were analysed according to clinical outcomes. The performances of blood flow, cephalic vein diameter, and the two factors combined in predicting fistula maturity were evaluated and the optimal cut-off values for Chinese patients were determined. Results During a 6 month follow-up, 113 fistulas were classified as mature and 19 fistulas were classified as failure. In both groups, the diameters of the brachial and radial arteries increased gradually within 2 weeks post-surgery ( p 0.05), and cephalic vein diameter and blood flow increased within 4 weeks post-surgery ( p 0.05). The blood flow of the failure group was significantly lower than that of the mature group from the first day after creation. The area under the receiver operating characteristic (ROC) curve was 0.95 (529 ml/min, the optimal cut-off value) for blood flow, 0.83 (5.2 mm) for cephalic vein diameter, and 0.96 for the two factors combined in predicting fistula maturity. Conclusions For Chinese patients, blood flow >529 ml/min could be used to predict fistula maturity and cephalic vein diameter >5.2 mm could be a supplement when necessary. |
| Databáze: | OpenAIRE |
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