Abstract
Duplex ultrasound is the mainstay for noninvasive evaluation of dialysis access circuits. It is used preoperatively for vein mapping and to detect peripheral arterial disease. Routine surveillance imaging of dialysis circuits is controversial, but duplex ultrasound is typically used when access circuit dysfunction (such as lack of thrill or pulse, poor clearance, aneurysm formation, lack of maturation, and hand ischemia) is suspected clinically. Duplex is useful to detect access circuit thrombosis, inflow and outflow stenosis, hematoma or collection adjacent to the circuit, collateral veins and distal arterial disease. CT and MR are used for evaluation of central venous and arterial structures in the chest and abdomen.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Palder SB, et al. Vascular access for hemodialysis. Patency rates and results of revision. Ann Surg. 1985;202(2):235–9.
Allon M, Robbin ML. Hemodialysis vascular access monitoring: current concepts. Hemodial Int. 2009;13(2):153–62.
Bosman PJ, et al. Graft flow as a predictor of thrombosis in hemodialysis grafts. Kidney Int. 1998;54(5):1726–30.
Wong V, et al. Factors associated with early failure of arteriovenous fistulae for haemodialysis access. Eur J Vasc Endovasc Surg. 1996;12(2):207–13.
Brimble KS, et al. Utility of ultrasonographic venous assessment prior to forearm arteriovenous fistula creation. Clin Nephrol. 2002;58(2):122–7.
Ferring M, et al. Routine preoperative vascular ultrasound improves patency and use of arteriovenous fistulas for hemodialysis: a randomized trial. Clin J Am Soc Nephrol. 2010;5(12):2236–44.
Paulson WD, Moist L, Lok CE. Vascular access surveillance: an ongoing controversy. Kidney Int. 2012;81(2):132–42.
Teodorescu V, Gustavson S, Schanzer H. Duplex ultrasound evaluation of hemodialysis access: a detailed protocol. Int J Nephrol. 2012;2012:508956.
Feldman HI, et al. Predictors of successful arteriovenous fistula maturation. Am J Kidney Dis. 2003;42(5):1000–12.
Cavagna E, et al. Failing hemodialysis arteriovenous fistula and percutaneous treatment: imaging with CT, MRI and digital subtraction angiography. Cardiovasc Intervent Radiol. 2000;23(4):262–5.
Haramati LB, et al. CT demonstration of dilated thoracoabdominal veins in patients with arteriovenous fistulas or grafts for hemodialysis. J Comput Assist Tomogr. 2002;26(5):801–4.
Karadeli E, et al. Evaluation of failing hemodialysis fistulas with multidetector CT angiography: comparison of different 3D planes. Eur J Radiol. 2009;69(1):184–92.
Ko SF, et al. MDCT angiography for evaluation of the complete vascular tree of hemodialysis fistulas. AJR Am J Roentgenol. 2005;185(5):1268–74.
Ye C, et al. Multislice computed tomographic angiography in evaluating dysfunction of the vascular access in hemodialysis patients. Nephron Clin Pract. 2006;104(2):c94–100.
Zhang J, et al. Time-resolved 3D MR angiography with parallel imaging for evaluation of hemodialysis fistulas and grafts: initial experience. AJR Am J Roentgenol. 2006;186(5):1436–42.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Reddick, M., Kalva, S. (2021). Non-invasive Imaging of Dialysis Access Circuit. In: Wu, S., Kalva, S., Park, H., Tan, C.S., Beathard, G.A. (eds) Dialysis Access Management. Springer, Cham. https://doi.org/10.1007/978-3-030-52994-9_10
Download citation
DOI: https://doi.org/10.1007/978-3-030-52994-9_10
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-52993-2
Online ISBN: 978-3-030-52994-9
eBook Packages: MedicineMedicine (R0)