The role of Doppler ultrasonography in vascular access surveillance-controversies continue

Chronic hemodialysis therapy required regular entry into the patient's blood stream with adequate flow. The use of arteriovenous fistulas and grafts is linked with lower morbidity and mortality than the use of catheters. However, these types of accesses are frequently affected by stenoses, whic...

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Autores: Malik, Jan|||0000-0002-2386-3293, Lomonte, Carlo, Meola, Mario|||0000-0002-1330-2820, de Bont, Cora|||0000-0003-2176-5275, Shahverdyan, Robert, Rotmans, Joris I.|||0000-0001-9682-6234, Saucy, François, Jemcov, Tamara, Ibeas, Jose|||0000-0002-1292-7271
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:291141
Acceso en línea:https://ddd.uab.cat/record/291141
https://dx.doi.org/urn:doi:10.1177/1129729820928174
Access Level:acceso abierto
Palabra clave:Arteriovenous fistula
Arteriovenous graft
Hemodialysis
Hemodialysis vascular access
Ultrasonography
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spelling The role of Doppler ultrasonography in vascular access surveillance-controversies continueMalik, Jan|||0000-0002-2386-3293Lomonte, CarloMeola, Mario|||0000-0002-1330-2820de Bont, Cora|||0000-0003-2176-5275Shahverdyan, RobertRotmans, Joris I.|||0000-0001-9682-6234Saucy, FrançoisJemcov, TamaraIbeas, Jose|||0000-0002-1292-7271Arteriovenous fistulaArteriovenous graftHemodialysisHemodialysis vascular accessUltrasonographyChronic hemodialysis therapy required regular entry into the patient's blood stream with adequate flow. The use of arteriovenous fistulas and grafts is linked with lower morbidity and mortality than the use of catheters. However, these types of accesses are frequently affected by stenoses, which decrease the flow and lead to both inadequate dialysis and access thrombosis. The idea of duplex Doppler ultrasound surveillance is based on the presumption that in-time diagnosis of an asymptomatic significant stenosis and its treatment prolongs access patency. Details of performed trials are conflicting, and current guidelines do not support ultrasound surveillance. This review article summarizes the trials performed and focuses on the reasons of conflicting results. We stress the need of precise standardized criteria of significant access stenosis and the weakness of the metaanalyses performed.Universitat Autònoma de Barcelona 22021-01-0120212021-01-01Article de revisióhttp://purl.org/coar/resource_type/c_dcae04bcVoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/291141https://dx.doi.org/urn:doi:10.1177/1129729820928174reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2911412026-06-06T12:50:31Z
dc.title.none.fl_str_mv The role of Doppler ultrasonography in vascular access surveillance-controversies continue
title The role of Doppler ultrasonography in vascular access surveillance-controversies continue
spellingShingle The role of Doppler ultrasonography in vascular access surveillance-controversies continue
Malik, Jan|||0000-0002-2386-3293
Arteriovenous fistula
Arteriovenous graft
Hemodialysis
Hemodialysis vascular access
Ultrasonography
title_short The role of Doppler ultrasonography in vascular access surveillance-controversies continue
title_full The role of Doppler ultrasonography in vascular access surveillance-controversies continue
title_fullStr The role of Doppler ultrasonography in vascular access surveillance-controversies continue
title_full_unstemmed The role of Doppler ultrasonography in vascular access surveillance-controversies continue
title_sort The role of Doppler ultrasonography in vascular access surveillance-controversies continue
dc.creator.none.fl_str_mv Malik, Jan|||0000-0002-2386-3293
Lomonte, Carlo
Meola, Mario|||0000-0002-1330-2820
de Bont, Cora|||0000-0003-2176-5275
Shahverdyan, Robert
Rotmans, Joris I.|||0000-0001-9682-6234
Saucy, François
Jemcov, Tamara
Ibeas, Jose|||0000-0002-1292-7271
author Malik, Jan|||0000-0002-2386-3293
author_facet Malik, Jan|||0000-0002-2386-3293
Lomonte, Carlo
Meola, Mario|||0000-0002-1330-2820
de Bont, Cora|||0000-0003-2176-5275
Shahverdyan, Robert
Rotmans, Joris I.|||0000-0001-9682-6234
Saucy, François
Jemcov, Tamara
Ibeas, Jose|||0000-0002-1292-7271
author_role author
author2 Lomonte, Carlo
Meola, Mario|||0000-0002-1330-2820
de Bont, Cora|||0000-0003-2176-5275
Shahverdyan, Robert
Rotmans, Joris I.|||0000-0001-9682-6234
Saucy, François
Jemcov, Tamara
Ibeas, Jose|||0000-0002-1292-7271
author2_role author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universitat Autònoma de Barcelona
dc.subject.none.fl_str_mv Arteriovenous fistula
Arteriovenous graft
Hemodialysis
Hemodialysis vascular access
Ultrasonography
topic Arteriovenous fistula
Arteriovenous graft
Hemodialysis
Hemodialysis vascular access
Ultrasonography
description Chronic hemodialysis therapy required regular entry into the patient's blood stream with adequate flow. The use of arteriovenous fistulas and grafts is linked with lower morbidity and mortality than the use of catheters. However, these types of accesses are frequently affected by stenoses, which decrease the flow and lead to both inadequate dialysis and access thrombosis. The idea of duplex Doppler ultrasound surveillance is based on the presumption that in-time diagnosis of an asymptomatic significant stenosis and its treatment prolongs access patency. Details of performed trials are conflicting, and current guidelines do not support ultrasound surveillance. This review article summarizes the trials performed and focuses on the reasons of conflicting results. We stress the need of precise standardized criteria of significant access stenosis and the weakness of the metaanalyses performed.
publishDate 2021
dc.date.none.fl_str_mv 2
2021-01-01
2021
2021-01-01
dc.type.none.fl_str_mv Article de revisió
http://purl.org/coar/resource_type/c_dcae04bc
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/291141
https://dx.doi.org/urn:doi:10.1177/1129729820928174
url https://ddd.uab.cat/record/291141
https://dx.doi.org/urn:doi:10.1177/1129729820928174
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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