USING COLOR DOPPLER ULTRASOUND IN PREOPERATIVE ESTIMATION OF QUALITY OF VASCULAR SYSTEM IN ORDER TO CREATE ARTERIOVENOUS FISTULA FOR HAEMODIALYSIS
Internal Clinic, Medical Faculty Priština , Kosovska Mitrovica , Kosovo*
Internal Clinic, Medical Faculty Priština , Kosovska Mitrovica , Kosovo*
Internal Clinic, Medical Faculty Priština , Kosovska Mitrovica , Kosovo*
Internal Clinic, Medical Faculty Priština , Kosovska Mitrovica , Kosovo*
Health Center Priština Kosovo*
Internal Clinic, Medical Faculty Priština , Kosovska Mitrovica , Kosovo*
Internal Clinic, Medical Faculty Priština , Kosovska Mitrovica , Kosovo*
Internal Clinic, Medical Faculty Priština , Kosovska Mitrovica , Kosovo*
Internal Clinic, Medical Faculty Priština , Kosovska Mitrovica , Kosovo*
Internal Clinic, Medical Faculty Priština , Kosovska Mitrovica , Kosovo*
Internal Clinic, Medical Faculty Priština , Kosovska Mitrovica , Kosovo*
Published: 01.12.2010.
Volume 38, Issue 2 (2010)
pp. 93-98;
Abstract
Doppler ultrasound check-up significantly increases a possibility of initial functioning of arteriovenous fistula. The aim of the study was the preoperative evaluation of vascular system of the extremity for creation of arteriovenous fistula for haemodialysis. The examination was organized at Urology and Nephrology Clinic, Clinical Centre "Kragujevac". The examined subjects were 87 patients, 52 (59,8%) male and 35 (40,2%) female, mean age of 61±11,1 years. There were performed the routine biochemical analyses, demographical structure and clinical characteristics (type of anastomosis, fistula placement, arterial blood pressure, lumen size of the artery and vein, measured intraoperatively by Doppler technique). In 72,1% of patients with functioning fistula there was made a terminal-lateral anastomosis, compared to 57,7% of patients with initial non-functioning fistula, there was found a statistically significant difference between the groups p=0,008. Radiocephalic fistula was created in 62,3% of the examined patients with initial functioning , in patients with non-functioning, the distal fistula was created in 38,5% of the examined patients. Regarding the type of the fistula location there was obtained statistically significant difference; p=0,04. There was found a statistically significant difference between the group of patients with initial functioning of arteriovenous and the group without, concerning the intraoperatively measured lumen of the cephalic vein (2±0,29 vs. 2±0,38 mm); p=0,03 (2,1±0,5 vs. 1,8±0,4); p=0,0009. Statistical significance between the groups was also found in the lumen of the cephalic vein verified by the ultrasound (2,1±0,53 vs. 1,8±0,25 mm); p=0,038. Peak of the systolic speed of the radial, corelated to the group of patients with and the group without initial functioning fistula (50 ± 12,42 vs. 40 ± 6,9 cm/sec); (p=0,0026), has statistically significant value. By the correlation of the group of patients with initial functioning and the group of patients without initial functioning, regarding hemoglobin (97 ± 16,1 vs. 88 ± 18,3 g/l); p=0,006 and the level of urea (22,6 ± 12,7 vs. 23,9 ± 9,8); p=0,02, there was found a statistically significant difference. Color Doppler ultrasound has an important role in preoperative evaluation of blood vessels and it represents a meaningful predictive parameter of functioning of arteriovenous fistula.
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