Vascular Mapping: Does It Help To Maximize Fistulae Placement?

• Type of Material: Article
• Authors: Vandana Dua Niyyar, Emory University; Monnie Wasse, Emory University
• Language: English
• Date: 2009-09
• Publisher: Elsevier: 12 months
• Publication Version: Author Accepted Manuscript (After Peer Review)
• Copyright Statement: © 2009 by the National Kidney Foundation, Inc. All rights reserved.
• Final Published Version (URL): http://dx.doi.org/10.1053/j.ackd.2009.06.007
• Title of Journal or Parent Work: Advances in Chronic Kidney Disease
• ISSN: 1548-5595
• Volume: 16
• Issue: 5
• Start Page: 316
• End Page: 320
• Grant/Funding Information: National Institute of Diabetes and Digestive and Kidney Diseases : NIDDK
• Keywords: Hemodialysis; Venous mapping
• Research Categories: Health Sciences, General

Abstract

The population of patients with ESRD in the United States is progressively increasing, with hemodialysis (HD) as the major mode of renal replacement therapy. The National Kidney Foundation's Dialysis Outcomes and Quality Initiative and the Fistula First Initiative recommend increasing the use of arteriovenous fistulae (AVF) in both incident and prevalent hemodialysis patients. One measure proposed is the use of pre-operative vascular mapping to assess the upper extremities for the presence of suitable vessels prior to the surgical creation of an AVF among both pre-dialysis CKD and ESRD patients on HD. This article aims to review the literature on vascular mapping, including the various techniques; their advantages and disadvantages; and whether they help to maximize the AVF creation rate as well as increase the use of AVF in the HD population.