Volume 8, Issue 4, July 2020, Page: 143-147
Evaluation Value of Portable Color Doppler Ultrasound for Arteriovenous Fistula Stenosis in Patients with Maintenance Hemodialysis
Sujuan Wu, Department of Dongpu Hemodialysis Center, Dongpu Branch of the First Affiliated Hospital, Jinan University, Guangzhou, China
Lingjun Shen, Department of Dongpu Hemodialysis Center, Dongpu Branch of the First Affiliated Hospital, Jinan University, Guangzhou, China
Wenyu Gong, Division of Nephrology, Department of Medicine, The First Affiliated Hospital, Jinan University, Guangzhou, China
Received: Apr. 23, 2020;       Accepted: May 15, 2020;       Published: May 28, 2020
DOI: 10.11648/j.ajim.20200804.11      View  62      Downloads  35
Abstract
Objective: By comparing the evaluation effect of traditional physical examination (PE) and portable color Doppler ultrasound on arteriovenous fistula (AVF), to explore the value of portable ultrasound in the diagnosis of abnormal fistula lesions in patients with maintenance hemodialysis (HD). Methods: 57 patients with maintenance HD from Dongpu HD center, the first affiliated hospital of Jinan university from September 2019 to March 2020 were selected. The PE was performed by specialist nurses, and AVF was evaluated by portable ultrasound, and the general data of the patients were collected. Results: The average age of the HD patients was 58.98 years, including 31 males (54.39%). The median of HD duration was 56 months, and 22 patients (28.60%) had diabetes mellitus. The prevalence of fistula stenosis was 17.54%. 50% PE was abnormal in fistula stenosis group, which was higher than that in non-fistula stenosis group (10.64%, P=0.012). The κ index was 0.394 in the consistency assessment between PE and portable ultrasound for evaluating the fistula stenosis (P=0.003). The incidence of fistula sound reduction, blood flow less than 200mL/min during treatment and abnormal arm lifting test in patients with fistula stenosis were all higher than those without fistula stenosis (all P<0.05). The results of multivariate logistic regression analysis showed that abnormal PE was closely related to fistula stenosis (OR=8.400, 95% confidence interval (CI)=1.786-39.498, P=0.007). Conclusion: Portable color Doppler ultrasound could effectively diagnose AVF stenosis in maintenance HD patients, especially when the traditional PE was abnormal, timely portable ultrasound evaluation was conducive to early intervention and extend the life of AVF.
Keywords
Hemodialysis, Arteriovenous Fistula, Stenosis, Physical Examination, Ultrasound
To cite this article
Sujuan Wu, Lingjun Shen, Wenyu Gong, Evaluation Value of Portable Color Doppler Ultrasound for Arteriovenous Fistula Stenosis in Patients with Maintenance Hemodialysis, American Journal of Internal Medicine. Vol. 8, No. 4, 2020, pp. 143-147. doi: 10.11648/j.ajim.20200804.11
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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