The Sensitivity and Specificity of Clinical Examination of the Hemodialysis Arterial-Venous Fistula (AVF) as Compared to Angiography

Awad Magbri; Eussera El-Magbri; Taha El-Magbri; Ji-Yank Sophie Lee

Authors

Awad Magbri
Eussera El-Magbri
Taha El-Magbri
Ji-Yank Sophie Lee

Keywords:

AVF (arteriovenous fistula), angiography, augmentation of the AVF, collapsibility of the AVF, interventional nephrologist, stenosis of the outflow tra

Abstract

Background and Objectives: Physical examination of the hemodialysis arterial-venous fistula (AVF) is convenient and inexpensive, and can often detect common problems associated with hemodialysis access. Routine systematic physical examination of the fistula by the dialysis staff with each treatment may allow early detection of problems that are commonly associated with mature fistula. This avoiding missed treatments and emergent situations. Dialysis access stenosis is the most common cause of access dysfunction. Physical examination is an important method in the assessment of stenotic lesions. The purpose of this study is to evaluate the two simple maneuvers in physical examination of the AVF (pulse augmentation and pressure assessment inside the fistula and collapsibility of the fistula on arm elevation) and compare them with the gold standard angiography.

Downloads

How to Cite

The Sensitivity and Specificity of Clinical Examination of the Hemodialysis Arterial-Venous Fistula (AVF) as Compared to Angiography. (2016). Global Journal of Medical Research, 16(10), 1-4. https://medicalresearchjournal.org/index.php/GJMR/article/view/

Download Citation

References

Gerald Beathard (1998) Beathard GA. Physical examination of the dialysis vascular access. 11(4), 231-236. https://doi.org/10.1111/j.1525-139x.1998.tb00353.x

Trerotola SO, Scheel Jr, Powe NR (1996) Screening for dialysis access graft malfunction: comparison of physical examination with US. 7(1), 15. https://doi.org/10.1016/s1051-0443(96)70726-1

Safa AA, Valji K, Roberts AC (1996) Detection and treatment of dysfunctional hemodialysis access graft: effect of a surveillance program on graft patency and the incidence of thrombosis. 199(3), 653. https://doi.org/10.1148/radiology.199.3.8637982

Migliacci R, Selli ML, Falcinelli F (1999) Assessment of occlusion on the vascular access in patients on chronic hemodialysis: comparison of physical examination with continuous-wave Doppler Ultrasound. 82(1), 7. https://doi.org/10.1159/000045360

Asif A, Leon C, Orozco-Vargas LC (2007) Accuracy of physical examination in the detection of Arteriovenous fistula stenosis. 2, 1191.

G. Beathard (2002) Physical examination: The forgotten tool. 2002, 11-118.

Beathard GA (2005) An algorithm for the physical examination of early fistula failure. 18, 331-335.

J. Choi, Y. Kim, S. Yoon, Y. Won (2006) Choi JR, Kim YS, Yoon SA, Won YD, et al. Accuracy of physical examination in the detection of Arteriovenous fistula dysfunction. 25, 797-802.

Arif Asif, Gautam Cherla, Donna Merrill, Cristian Cipleu, Patricia Briones, Phillip Pennell (2005) Conversion of tunneled hemodialysis catheter-consigned patients to arteriovenous fistula. 67(6), 2399-2406. https://doi.org/10.1111/j.1523-1755.2005.00347.x

Vascular Access Work Group (2006) Clinical Practice Guidelines for Vascular Access. (suppl 1).

J. Am (2001) NKF-DOQI clinical practice guidelines for vascular access: guideline 1-Patient evaluation prior to access placement.

Sidawy AN, Spergel LM, Besarab A (2008) The Scociety for Vascular Surgery: clinical practice guidelines for surgical placement and maintenance of Arteriovenous hemodialysis access. 48, 2S.

T. McGinn, P. Wyer, T. Newman, S. Keitz (2004) Tips for learners of evidence-based medicine: 3. Measures of observer variability (kappa statistic). 171, 1369-1373.

M. Maclure, W. Willett (1987) Maclure M, Willett WC: Misinterpretation and misuse of the kappa statistics. 126(2), 161-169. https://doi.org/10.1093/aje/126.2.161

Jacob Cohen (1960) A coefficient of agreement for nominal scales Educ Psychol Meas. 20(1), 37-46. https://doi.org/10.1177/001316446002000104

R. Mishler, D. Schon, B. Hubert, A. Nissenson (2000) Development and usefulness of a physical examination tool to diagnose vascular access dysfunction. 190A.