Bedside Ultrasonography for Arteriovenous Fistula Cannulation

Roshan A. Patel, Aaron S. Stern, Maritza Brown, Saad Bhatti

Research output: Contribution to journalArticlepeer-review

19 Scopus citations

Abstract

Difficulty in accessing a new arteriovenous fistula (AVF) is a common technical issue in hemodialysis patients, which often leads to interventional radiology and/or vascular surgery referral. As a consequence, the patient who needs dialysis may require a temporary dialysis catheter with its known potential complications. We present a case where bedside ultrasonography facilitated successful cannulation of a difficult AVF. Ultrasonography (US) training in this procedure may allow early cannulation of new AVFs when the venous diameter is large enough (>0.6 cm) but the fistula is too deep (>0.6 cm). Real-time, US-guided AVF cannulation may also decrease the number of failed venous punctures per hemodialysis (HD) session minimizing vessel wall damage and subsequent potential hematoma and aneurysm formation.

Original languageEnglish
Pages (from-to)433-434
Number of pages2
JournalSeminars in Dialysis
Volume28
Issue number4
DOIs
StatePublished - 1 Jul 2015
Externally publishedYes

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