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Ultrasound evaluation of arteriovenous fistula for hemodialysis

https://doi.org/10.24835/1607-0771-287

Abstract

The article presents a pictorial literature review on ultrasound evaluation of arteriovenous fistula for hemodialysis in patients with end-stage renal failure. Native arteriovenous fistula (AVF) is considered the “gold standard” of vascular access. Nowadays ultrasound is the first-line imaging modality of management of patients receiving hemodialysis treatment at all stages. The article highlights the role of ultrasound in preoperative assessment when planning the AVF creation, assessing the maturation of vascular access, as well as early detection of its dysfunction. The main complications of arteriovenous fistulas are presented, and examples of their diagnosis using the ultrasound are given.

About the Author

E. V. Polukhina
Postgraduate Institute for Public Health Workers; 9, Krasnodarskaya str., Khabarovsk 680009, Russian Federation
Russian Federation

Elena V. Polukhina – Doct. of Sci. (Med.), Associate Professor, Professor of Division of Rаdiology and Functional Diagnostics, Postgraduate Institute for Public Health Workers, Khabarovsk.
https://orcid.org/0000- 0002-8760-4880



References

1. Kampmann J.D., Heaf J.G., Mogensen C.B. et al. Prevalence and incidence of chronic kidney disease stage 3–5 – results from KidDiCo. BMC Nephrol. 2023; 24 (1): 17. http:// doi: 10.1186/s12882-023-03056-x

2. Andrusev A.M., Tomilina N.A., Peregudova N.G., Shinkarev M.B. Kidney replacement therapy for end Stage Kidney Disease in Russian Federation, 2015-2019. Russian National Kidney Replacement Therapy Registry Report of Russian Public Organization of Nephrologists “Russian Dialysis Society”. Nephrologу and Dialуsis. 2021; 23 (3): 255–329. https://doi.org/10.28996/2618-9801-2021-3-255-329 (In Russian)

3. Lok C.E., Huber T.S., Lee T. et al.; National Kidney Foundation. KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update. Am. J. Kidney Dis. 2020; 75 (4, Suppl. 2): S1–S164. https://doi.org/10.1053/j.ajkd.2019.12.001

4. Schmidli J., Widmer M.K., Basile C. et al. Editor's Choice – Vascular Access: 2018 Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS). Eur. J. Vasc. Endovasc. Surg. 2018; 55 (6): 757–818. https://doi.org/10.1016/j.ejvs.2018.02.001

5. AIUM Practice Parameter for the Performance of Vascular Ultrasound Examinations for Postoperative Assessment of Hemodialysis Access. J. Ultrasound Med. 2020; 39 (5): E39–E48. https://doi.org/10.1002/jum.15262

6. The AIUM Practice Parameter for the Performance of Ultrasound Vessel Mapping Prior to Dialysis Access Creation. J. Ultrasound Med. 2022; 41 (4): E16–E20. https://doi.org/10.1002/jum.15876

7. Chytilova E., Jemcov T., Malik J. et al. Role of Doppler ultrasonography in the evaluation of hemodialysis arteriovenous access maturation and influencing factors. J. Vasc. Access. 2021; 22 (1, Supp. l): 42–55. https://doi.org/10.1177/1129729820965064

8. Expert Panels on Interventional Radiology and Vascular Imaging / Higgins M.C.S.S., Diamond M., Mauro D.M. et al. ACR Appropriateness Criteria® Dialysis Fistula Malfunction. J. Am. Coll. Radiol. 2023; 20 (11S): S382–S412. https://doi.org/10.1016/j.jacr.2023.08.016

9. Lomonte C., Meola M., Petrucci I. et al. The key role of color Doppler ultrasound in the work-up of hemodialysis vascular access. Semin. Dial. 2015; 28 (2): 211–215. https://doi.org/10.1111/sdi.12312

10. Mario M., Ibeas J., Malik J. Current role of ultrasound in hemodialysis access evaluation. J. Vasc. Access. 2021; 22 (1, Suppl.): 56–62. https://doi.org/10.1177/11297298211034638

11. Meola M., Marciello A., Di Salle G., Petrucci I. Ultrasound evaluation of access complications: Thrombosis, aneurysms, pseudoaneurysms and infections. J. Vasc. Access. 2021; 22 (1, Suppl.): 71–83. https://doi.org/10.1177/11297298211018062

12. Georgiadis G.S., Charalampidis D.G., Argyriou C. et al. The Necessity for Routine Pre-operative Ultrasound Mapping Before Arteriovenous Fistula Creation: A Meta-analysis. Eur. J. Vasc. Endovasc. Surg. 2015; 49 (5): 600–605. https://doi.org/10.1016/j.ejvs.2015.01.012

13. Sharbidre K.G., Alexander L.F., Varma R.K. et al. Hemodialysis Access: US for Preprocedural Mapping and Evaluation of Maturity and Access Dysfunction. Radiogrphics. 2024; 44 (1): e230053. https://doi.org/10.1148/rg.230053

14. Suryawanshi M., Dutta P., Ganduboina R. et al. Standardization of Pre-operative Evaluation to Improve the Outcome of Arteriovenous Fistula for Vascular Access of Hemodialysis: A Review of 700 Cases. Cureus. 2023; 15 (9): e45999. https://doi.org/10.7759/cureus.45999

15. Kian K., Shapiro J.A., Salman L. et al. High brachial artery bifurcation: clinical considerations and practical implications for an arteriovenous access. Semin. Dial. 2012; 25 (2): 244–247. https://doi.org/10.1111/j.1525-139X.2011.00964

16. Vascular Access 2006 Work Group. Clinical practice guidelines for vascular access. Am. J. Kidney Dis. 2006; 48 (Suppl 1): S176–247. https://doi.org/10.1053/j.ajkd.2006.04.029

17. Malovrh M. Native arteriovenous fistula: preoperative evaluation. Am. J. Kidney Dis. 2002; 39 (6): 1218–1225. https://doi.org/10.1053/ajkd.2002.33394

18. Parmar J., Aslam M., Standfield N. Pre-operative radial arterial diameter predicts early failure of arteriovenous fistula (AVF) for haemodialysis. Eur. J. Vasc. Endovasc. Surg. 2007; 33 (1): 113–115. https://doi.org/10.1016/j.ejvs.2006.09.001

19. Marques M.G., Ponce P. Pre-operative Assessment for Arteriovenous Fistula Placement for Dialysis. Semin. Dial. 2017; 30 (1): 58–62. https://doi.org/10.1111/sdi.12561

20. Masengu A., McDaid J., Maxwell A.P., Hanko J.B. Preoperative radial artery volume flow is predictive of arteriovenous fistula outcomes. J. Vasc. Surg. 2016; 63 (2): 429–435. https://doi.org/10.1016/j.jvs.2015.08.106

21. Pirozzi N., De Alexandris L., Scrivano J. et al. Ultrasound evaluation of dialysis access-related distal ischaemia. J. Vasc. Access. 2021; 22 (1, Suppl.): 84–90. https://doi.org/10.1177/1129729820932420

22. Tedla F.M., Clerger G., Distant D., Salifu M. Prevalence of Central Vein Stenosis in Patients Referred for Vein Mapping. Clin. J. Am. Soc. Nephrol. 2018; 13 (7): 1063–1068. https://doi.org/10.2215/CJN.14001217

23. Robbin M.L., Greene T., Allon M. et al. Hemodialysis Fistula Maturation Study Group. Prediction of Arteriovenous Fistula Clinical Maturation from Postoperative Ultrasound Measurements: Findings from the Hemodialysis Fistula Maturation Study. J. Am. Soc. Nephrol. 2018; 29 (11): 2735–2744. https://doi.org/10.1681/ASN.2017111225

24. Shintaku S., Kawanishi H., Moriishi M. et al. Postoperative day 1 access blood flow and resistive index can predict patency in distal forearm arteriovenous fistula. J. Vasc. Access. 2017; 18 (5): 371–378. https://doi.org/10.5301/jva.5000777

25. Nalesso F., Garzotto F., Petrucci I. et al. Standardized Protocol for Hemodialysis Vascular Access Assessment: The Role of Ultrasound and ColorDoppler. Blood Purif. 2018; 45 (1–3): 260–269. https://doi.org/10.1159/000485590

26. Pichot O., Diard A., Bosc J.Y. et al.; AV Access Network Investigators; Société Française de Médecine Vasculaire and the Société Francophone de l'Abord Vasculaire. Standardized Methodology for Duplex Ultrasound Examination of Arteriovenous Access for Hemodialysis: A Proposal of the French Society of Vascular M.edicine and the French-Speaking Society of Vascular Access. Ultrasound Med. Biol. 2023; 49 (10): 2213–2220. https://doi.org/10.1016/j.ultrasmedbio.2023.07.007

27. Quencer K.B., Arici M. Arteriovenous Fistulas and Their Characteristic Sites of Stenosis. Am. J. Roentgenol. 2015; 205 (4): 726–734. https://doi.org/10.2214/AJR.15.14650

28. Castro A., Moreira C., Almeida P. et al. The Role of Doppler Ultrassonography in Significant and Borderline Stenosis Definition. Blood Purif. 2018; 46 (2): 94–102. https://doi.org/10.1159/000488442

29. Malik J., de Bont C., Valerianova A. et al. Arteriovenous Hemodialysis Access Stenosis Diagnosed by Duplex Doppler Ultrasonography: A Review. Diagnostics (Basel). 2022; 16; 12 (8): 1979. https://doi.org/10.3390/diagnostics12081979

30. Tirinescu D.C, Bondor C.I., Vlăduțiu D.Ş. et al. Ultrasonographic diagnosis of stenosis of native arteriovenous fistulas in haemodialysis patients. Med. Ultrason. 2016; 18 (3): 332–338. https://doi.org/10.11152/mu.2013.2066.183.fis

31. Robbin M.L., Oser R.F., Allon M. et al. Hemodialysis access graft stenosis: US detection. Radiology. 1998; 208 (3): 655–661. https://doi.org/10.1148/radiology.208.3.9722842

32. Cho S., Lee Y.J., Kim S.R. Value of Doppler evaluation of physically abnormal fistula: hemodynamic guidelines and access outcomes. Korean J. Intern. Med. 2019; 34 (1): 137–145. https://doi.org/10.3904/kjim.2016.299

33. Tordoir J.H.M., Zonnebeld N., van Loon M.M. et al. Surgical and Endovascular Intervention for Dialysis Access Maturation Failure During and After Arteriovenous Fistula Surgery: Review of the Evidence. Eur. J. Vasc. Endovasc. Surg. 2018; 55 (2): 240–248. https://doi.org/10.1016/j.ejvs.2017.12.001

34. Padberg F.T. Jr., Calligaro K.D., Sidawy A.N. Complications of arteriovenous hemodialysis access: recognition and management. J. Vasc. Surg. 2008; 48 (5, Suppl.): 55S–80S. https://doi.org/10.1016/j.jvs.2008.08.067

35. MacRae J.M., Dipchand C., Oliver M. et al. Canadian Society of Nephrology Vascular Access Work Group. Arteriovenous Access: Infection, Neuropathy, and Other Complications. Can. J. Kidney Health Dis. 2016; 3: 2054358116669127. https://doi.org/10.1177/2054358116669127

36. Balaz P., Björck M. True aneurysm in autologous hemodialysis fistulae: definitions, classification and indications for treatment. J. Vasc. Access. 2015; 16 (6): 446–453. https://doi.org/10.5301/jva.5000391

37. Valenti D., Mistry H., Stephenson M. A novel classification system for autogenous arteriovenous fistula aneurysms in renal access patients. Vasc. Endovasc. Surg. 2014; 48 (7–8): 491–496. https://doi.org/10.1177/1538574414561229

38. Jose M.D., Marshall M.R., Read G. et al. Fatal Dialysis Vascular Access Hemorrhage. Am. J. Kidney Dis. 2017; 70 (4): 570–575. https://doi.org/10.1053/j.ajkd.2017.05.014

39. Inston N., Mistry H., Gilbert J. et al. Aneurysms in vascular access: state of the art and future developments. J. Vasc. Access. 2017; 18 (6): 464–472. https://doi.org/10.5301/jva.5000828

40. Huber T.S., Larive B., Imrey P.B. et al. HFM Study Group. Access-related hand ischemia and the Hemodialysis Fistula Maturation Study. J. Vasc. Surg. 2016; 64 (4): 1050–1058.e1. https://doi.org/10.1016/j.jvs.2016.03.449

41. Malik J., Tuka V., Kasalova Z. et al. Understanding the dialysis access steal syndrome. A review of the etiologies, diagnosis, prevention and treatment strategies. J. Vasc. Access. 2008; 9 (3): 155–166. PMID: 18850575

42. Bavare C.S., Bismuth J., El-Sayed H.F. et al. Volume Flow Measurements in Arteriovenous Dialysis Access in Patients with and without Steal Syndrome. Int. J. Vasc. Med. 2013; 328601. https://doi.org/10.1155/2013/328601

43. Scheltinga M.R., van Hoek F., Bruijninckx C.M. Time of onset in haemodialysis access-induced distal ischaemia (HAIDI) is related to the access type. Nephrol. Dial. Transplant. 2009; 24 (10): 3198–3204. https://doi.org/10.1093/ndt/gfp200


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For citations:


Polukhina E.V. Ultrasound evaluation of arteriovenous fistula for hemodialysis. Ultrasound & Functional Diagnostics. 2024;(4):93-114. (In Russ.) https://doi.org/10.24835/1607-0771-287

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ISSN 1607-0771 (Print)
ISSN 2408-9494 (Online)