Hemodialysis Access: US for Preprocedural Mapping and Evaluation of Maturity and Access Dysfunction Article Swipe
Kedar Sharbidre
,
Lauren F. Alexander
,
Rakesh Varma
,
Alian Al-Balas
,
David M. Sella
,
Melanie P. Caserta
,
M. Jennings Clingan
,
Mohd Soperi Mohd Zahid
,
Muhammad Usman Aziz
,
Michelle L. Robbin
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1148/rg.230053
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1148/rg.230053
Patients with kidney failure require kidney replacement therapy. While renal transplantation remains the treatment of choice for kidney failure, renal replacement therapy with hemodialysis may be required owing to the limited availability and length of time patients may wait for allografts or for patients ineligible for transplant owing to advanced age or comorbidities. The ideal hemodialysis access should provide complication-free dialysis by creating a direct connection between an artery and vein with adequate blood flow that can be reliably and easily accessed percutaneously several times a week. Surgical arteriovenous fistulas and grafts are commonly created for hemodialysis access, with newer techniques that involve the use of minimally invasive endovascular approaches. The emphasis on proactive planning for the placement, protection, and preservation of the next vascular access before the current one fails has increased the use of US for preoperative mapping and monitoring of complications for potential interventions. Preoperative US of the extremity vasculature helps assess anatomic suitability before vascular access creation, increasing the rates of successful maturation. A US mapping protocol ensures reliable measurements and clear communication of anatomic variants that may alter surgical planning. Postoperative imaging helps assess fistula maturation before cannulation for dialysis and evaluates for early and late complications associated with arteriovenous access. Clinical and US findings can suggest developing stenosis that may progress to thrombosis and loss of access function, which can be treated with percutaneous vascular interventions to preserve access patency. Vascular access steal, aneurysms and pseudoaneurysms, and fluid collections are other complications amenable to US evaluation. ©RSNA, 2023 Supplemental material is available for this article. Test Your Knowledge questions for this article are available through the Online Learning Center.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1148/rg.230053
- OA Status
- green
- Cited By
- 5
- References
- 71
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4389750035
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4389750035Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1148/rg.230053Digital Object Identifier
- Title
-
Hemodialysis Access: US for Preprocedural Mapping and Evaluation of Maturity and Access DysfunctionWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-12-14Full publication date if available
- Authors
-
Kedar Sharbidre, Lauren F. Alexander, Rakesh Varma, Alian Al-Balas, David M. Sella, Melanie P. Caserta, M. Jennings Clingan, Mohd Soperi Mohd Zahid, Muhammad Usman Aziz, Michelle L. RobbinList of authors in order
- Landing page
-
https://doi.org/10.1148/rg.230053Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
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greenOpen access status per OpenAlex
- OA URL
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https://pmc.ncbi.nlm.nih.gov/articles/PMC10772307/pdf/rg.230053.pdfDirect OA link when available
- Concepts
-
Medicine, Hemodialysis, Arteriovenous fistula, Dialysis, Percutaneous, Renal replacement therapy, Surgery, Vascular access, Stenosis, Intensive care medicine, RadiologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
5Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 2, 2024: 3Per-year citation counts (last 5 years)
- References (count)
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71Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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