Skip Navigation

This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (4)
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Lui, K.-W.
Right arrow Articles by Tseng, J.-H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Lui, K.-W.
Right arrow Articles by Tseng, J.-H.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Nephrol Dial Transplant (2001) 16: 98-101
© 2001 European Renal Association-European Dialysis and Transplant Association

Ultrasound guided puncture of the brachial artery for haemodialysis fistula angiography

Kar-Wai Lui, Kee-Min Yeow, Yung-Liang Wan, Yun-Chung Cheung, Koon-Kwan Ng and Jeng-Hwei Tseng

First Department of Diagnostic Radiology, Chang Gung Medical Center at Linkou, College of Medicine, Chang Gung University, Taiwan

Background. Arterio-venous (a–v) fistulae of haemodialysis patients frequently require function assessment by angiography. The purpose of the present study was to determine the efficacy and safety of ultrasound-guided transbrachial catheterization when a-v fistulae were evaluated.

Methods. Between July 1996 and December 1997, 208 dialysis patients, whose a-v fistulae (arterial inflow <50 ml/min or venous pressure >150 mm Hg in three consecutive HD sessions) were at the wrist or elbow, underwent transbrachial angiography using an ultrasound-guided 20-gauge IA needle to evaluate fistula function. Procedure-related symptoms or complications were noted in 28 patients and these were analysed.

Results. No apparent cases of vessel spasm or thrombosis were noted. Reported symptoms in 28 patients (13.5%) included local arm pain (3.3%), transient paresthesia (0.9%), mild ecchymosis (10.6%) and haematoma (0.9%). All complications were minor and none required surgical intervention.

Conclusion. Ultrasound-guided puncture of the brachial artery is a safe, reliable and effective procedure in skilled hands and should be the preferred means of catheterization whenever haemodialysis angiography is performed.

Keywords: brachial arteriography; haemodialysis fistula; ultrasound

Correspondence and offprint requests to: Kar-Wai Lui, MD, First Department of Diagnostic Radiology, Chang Gung Medical Center at Linkou, College of Medicine, Chang Gung University, 5 Fu-Hsing Road, Tao-Yuan Hsien, Taiwan.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Nephrol Dial TransplantHome page
L. Turmel-Rodrigues, A. Mouton, B. Birmele, L. Billaux, N. Ammar, O. Grezard, S. Hauss, and J. Pengloan
Salvage of immature forearm fistulas for haemodialysis by interventional radiology
Nephrol. Dial. Transplant., December 1, 2001; 16(12): 2365 - 2371.
[Abstract] [Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.