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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Value of Preoperative Sonographic Vascular Evaluation of Haemodialysis Access by Arterio‐Venous Fistula in Upper Limb

Bathineni Haritha, Vijaya Lakshmi Ailuru, Dwara Manogna Devi and Kolli Anudeep
Page: 91-96 | Received 20 Aug 2024, Published online: 15 Nov 2024

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Abstract

This study was done to know the value of preoperative sonographic vascular mapping of for haemaccess placement by arterio‐venous fistula in upper limb. Pre‐operative sonographic assessment of upper limb vessels was performed in 60 patients prior to vascular access placement and potential sites were selected (based on the standard criteria). The findings obtained were correlated with the operative findings and discrepancies found between sonographic and operative findings were analysed. All the 50 patients who underwent vascular mapping had VA placed. In 96% of patients, at the selected sites, the vascular parameters as determined by sonography matched with the operative findings. In 4% of patients there were discrepancies between the sonographic findings and operative findings. There was no negative surgical exploration. There was strong correlation between the diameters measured by US and surgery. Preoperative sonographic vascular mapping prior to Haemodialysis access placement has facilitated definite selection of potential sites in difficult patient population in whom evaluation by physical examination was inconclusive. It also helped in maximising the successful AVFs and decreasing the negative surgical exploration rates.


How to cite this article:

Bathineni Haritha, Vijaya Lakshmi Ailuru, Dwara Manogna Devi and Kolli Anudeep. Value of Preoperative Sonographic Vascular Evaluation of Haemodialysis Access by Arterio‐Venous Fistula in Upper Limb.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.12.91.96
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.12.91.96