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NDT Advance Access originally published online on June 15, 2004
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Nephrol Dial Transplant (2004) 19: 1956-1963
Nephrol Dial Transplant Vol. 19 No. 8 © ERA-EDTA 2004; all rights reserved

Editorial Comment

Colour Doppler ultrasound in dialysis access

Patrick Wiese and Barbara Nonnast-Daniel

Department of Medicine IV, Nephrology, University Erlangen-Nuernberg, Germany

Keywords: access stenosis; access thrombosis; colour Doppler ultrasound; hemodialysis; steal syndrome; vascular access

The first 150 words of the full text of this article appear below.



   Introduction
 
The native arteriovenous fistula (AVF) at the wrist [1] is generally accepted as the vascular access of choice in haemodialysis patients due to its low complication and high patency rates [2].

However, with an increasing number of elderly patients and patients with co-morbid conditions such as vascular disease and diabetes mellitus in the haemodialysis population, the creation and maintenance of a patent and well-functioning AVF has become a real challenge to nephrologists and vascular surgeons [3]. The DOQI guidelines state that creation of a primary AVF is possible in only 50% of the patients [4]. Therefore, in the US, synthetic polytetrafluoroethylene (PTFE) grafts are still the predominant form of permanent vascular access [5,6], despite the well known poorer outcome compared to AVFs [4,6,7].

To further increase the use of native AVFs, especially . . . [Full Text of this Article]



   Preoperative vascular evaluation
 


   Access volume flow
 


   Vascular access stenosis
 


   Thrombosis and aneurysm formation in vascular access
 


   Steal syndrome
 

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