SP588IS IT POSSIBLE TO PREDICT THE MATURATION OUTCOME OF THE ARTERIOVENOUS FISTULAS FOR HEMODIALYSIS BASED ON MORPHOLOGICAL AND FUNCTIONAL PARAMETERS OF BLOOD VESSELS?

Tamara K Jemcov, Igor Koncar, Marko Dragas, Nikola Ilic, Ilija Kuzmanovic, Andreja Dimic, Nenad Jakovljevic, Lazar Davidovic, Milan Radovic
2015 Nephrology, Dialysis and Transplantation  
Introduction and Aims: Although native radiocephalic arteriovenous fistula (RCAVF) is the best vascular access for hemodialysis (HD), a significant failure-to-mature rate is a barrier to overcome. Aim of the study was to investigate the influence of different morphologic and functional parameters on AVF maturation, to define the most important factors and suggest (according to obtained results) a clinical algorithm for prediction of the radiocephalic AVF maturation. Methods: A prospective,
more » ... A prospective, observational study was performed on 122 patients (66 men) with terminal kidney failure who underwent native radiocephalic AVF creation. Internal diameters of cephalic vein (CVd) and radial artery (ARd), venous distensibility (VD), resistance index (RI) and endothelial function by flow mediated dilatation (FMD) were determined by ultrasound examination before AVF placement. AVF maturation was observed by measuring blood flow (Qa) and CVd. Depending on attained maturity
doi:10.1093/ndt/gfv198.11 fatcat:7xwbhr3kezdl7dlueikghkfkxi