USE OF THE FISTULA ASSESSMENT MONITOR TO DETECT STENOSES IN ACCESS FISTULAS

被引：15

作者：

GANI, JS ^{[1
]}

FOWLER, PR ^{[1
]}

STEINBERG, AW ^{[1
]}

WLODARCZYK, JH ^{[1
]}

NANRA, RS ^{[1
]}

HIBBERD, AD ^{[1
]}

机构：

[1] ROYAL NEWCASTLE HOSP,HUNTER TRANSPLANT UNIT,NEWCASTLE,NSW 2300,AUSTRALIA

来源：

AMERICAN JOURNAL OF KIDNEY DISEASES | 1991年 / 17卷 / 03期

关键词：

ANGIOGRAPHY; ARTERIOVENOUS FISTULA;

D O I：

10.1016/S0272-6386(12)80478-1

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Twenty-three unselected hemodialysis patients with functioning access arteriovenous fistulae were studied prospectively to determine the best technique for detecting stenoses within the fistulae. Combined clinical assessment and fistula assessment monitoring were compared with transbrachial angiography. Fistula assessment monitoring was more accurate (96%) than combined clinical assessment (accuracy, 52%) in stenoses detection. Complications of angiography occurred in 17% of patients; there were no complications of fistula assessment monitoring. Fistula assessment monitoring was better than combined clinical assessment in predicting clinical outcome for arteriovenous fistulae over 6 months and was as good as angiography. Routine fistula assessment monitoring could reduce inappropriate angiography and detect clinically significant silent stenoses. It is an ideal method for monitoring arteriovenous access fistulae. © 1991, National Kidney Foundation, Inc.. All rights reserved.

引用

页码：303 / 306

页数：4

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