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中华肾病研究电子杂志 ›› 2023, Vol. 12 ›› Issue (01) : 44 -47. doi: 10.3877/cma.j.issn.2095-3216.2023.01.008

综述

多普勒超声在血液透析患者自体动静脉内瘘评估中的应用
韩恩红1, 梁付桂1, 左晓文2, 谢蕾1, 高建军1,()   
  1. 1. 100101 北京,解放军战略支援部队特色医学中心肾脏病科
    2. 100101 北京,解放军战略支援部队特色医学中心超声诊断科
  • 收稿日期:2022-07-14 出版日期:2023-02-28
  • 通信作者: 高建军
  • 基金资助:
    中国人民解放军战略支援部队特色医学中心课题(19ZX55)

Application of Doppler ultrasonography in the evaluation of autologous arteriovenous fistula of hemodialysis patients

Enhong Han1, Fugui Liang1, Xiaowen Zuo2, Lei Xie1, Jianjun Gao1,()   

  1. 1. Department of Nephrology; Special Medical Center of Chinese PLA Strategic Support Force, Beijing 100101, China
    2. Department of Ultrasonography; Special Medical Center of Chinese PLA Strategic Support Force, Beijing 100101, China
  • Received:2022-07-14 Published:2023-02-28
  • Corresponding author: Jianjun Gao
引用本文:

韩恩红, 梁付桂, 左晓文, 谢蕾, 高建军. 多普勒超声在血液透析患者自体动静脉内瘘评估中的应用[J/OL]. 中华肾病研究电子杂志, 2023, 12(01): 44-47.

Enhong Han, Fugui Liang, Xiaowen Zuo, Lei Xie, Jianjun Gao. Application of Doppler ultrasonography in the evaluation of autologous arteriovenous fistula of hemodialysis patients[J/OL]. Chinese Journal of Kidney Disease Investigation(Electronic Edition), 2023, 12(01): 44-47.

作为血液透析患者血管通路的首选,动静脉内瘘的建立与维护对血液透析治疗至关重要。多普勒超声因具有无创、可重复、可实时检测等特点,在进行动静脉内瘘术前评估、筛选造瘘血管、评估内瘘成熟度、识别术后早期并发症、及时辅助血管腔内介入治疗等方面的应用越来越广泛。本文综述了超声在自体动静脉内瘘评估中的应用进展。

As the first choice of vascular access for hemodialysis patients, the establishment and maintenance of arteriovenous fistulas are crucial in hemodialysis treatment. Because of its non-invasive, repeatable, real-time detection characteristics, Doppler ultrasonography has been increasingly widely used in the assessment of arteriovenous fistulas, including preoperative fistula evaluation, vessels screening for fistula establishment, maturity evaluation of fistula, identification of early postoperative complications, and timely assistance in endovascular interventional therapy, etc. This article reviewed the application progress of ultrasonography in the evaluation of autologous arteriovenous fistula.

图1 多普勒超声在自体动静脉内瘘中的应用概况图
[1]
冯香莲. 彩色多普勒超声在血液透析血管通路中的应用价值分析[J]. 影像研究与医学应用2022, 6(2): 119-121.
[2]
Schmidli J, Widmer MK, Basile C, et al. Editor′s choice-vascular access: 2018 clinical practice guidelines of the European Society for Vascular Surgery (ESVS) [J]. Eur J Vasc Endovasc Surg, 2018, 55(6): 757-818.
[3]
Tordoir J, Canaud B, Haage P, et al. EBPG on vascular access [J]. Nephrol Dial Transplant, 2007, 22(Suppl 2): ii88-ii117.
[4]
Oprea A, Molnar A, Vlǎduţiu D, et al. Correlation between preoperative vein and artery diameters and arteriovenous fistula outcome in patients with end-stage renal disease [J]. Clujul Med, 2018, 91(4): 399-407.
[5]
Hou G, Hou Y, Sun X, et al. Venous distensibility is more important than venous diameter in primary survival of autogenous radiocephalic arteriovenous fistulas [J]. J Vasc Access, 2020, 21(6): 963-968.
[6]
Pirozzi N, Mancianti N, Scrivano J, et al. Monitoring the patient following radio-cephalic arteriovenous fistula creation: current perspectives [J]. Vasc Health Risk Manag, 2021, 17: 111-121.
[7]
Srivastava A, Sureka SK, Prabhakaran S, et al. Role of preoperative duplex ultrasonography to predict functional maturation of wrist radiocephalic arteriovenous fistula: a study on Indian population [J]. Indian J Nephrol, 2018, 28(1): 10-14.
[8]
冯静静,张鲁伟,赵鹏,等. 彩色多普勒超声在终末期肾病患者自体动静脉内瘘术前评估及术后监测中的应用[J]. 山东大学学报(医学版), 2018, 57(7): 65-69.
[9]
Hossain S, Sharma A, Dubois L, et al. Preoperative point-of-care ultrasound and its impact on arteriovenous fistula maturation outcomes [J]. J Vasc Surg, 2018, 68(4): 1157-1165.
[10]
Chytilova E, Jemcov T, Malik J, et al. Role of Doppler ultrasonography in the evaluation of hemodialysis arteriovenous access maturation and influencing factors [J]. J Vasc Access, 2021, 22(1 Suppl): 42-55.
[11]
Berman SS, Mendoza B, Westerband A, et al. Predicting arteriovenous fistula maturation with intraoperative blood flow measurements [J]. J Vasc Access, 2008, 9(4): 241-247.
[12]
Lee J, Lee S, Chang JW, et al. Clinical value of intraoperative flow measurements of brachiocephalic arteriovenous fistulas for hemodialysis [J]. Korean J Thorac Cardiovasc Surg, 2020, 53(3): 121-126.
[13]
Shintaku S, Kawanishi H, Moriishi M, et al. Postoperative day 1 access blood flow and resistive index can predict patency in distal forearm arteriovenous fistula [J]. J Vasc Access, 2017, 18(5): 371-378.
[14]
Ladenheim ED, Lulic D, Lum C, et al. First-week postoperative flow measurements are highly predictive of primary patency of radiocephalic arteriovenous fistulas [J]. J Vasc Access, 2016, 17(4): 307-312.
[15]
Robbin ML, Greene T, Cheung AK, et al. Arteriovenous fistula development in the first 6 weeks after creation [J]. Radiology, 2016, 279(2): 620-629.
[16]
Ravani P, Barrett B, Mandolfo S, et al. Factors associated with unsuccessful utilization and early failure of the arterio-venous fistula for hemodialysis [J]. J Nephrol, 2005, 18(2): 188-196.
[17]
Meola M, Marciello A, Di Salle G, et al. Ultrasound evaluation of access complications: thrombosis, aneurysms, pseudoaneurysms and infections [J]. J Vasc Access, 2021, 22(1 Suppl): 71-83.
[18]
Thabet BA, Ewas MO, Hassan HA. Complications of arteriovenous fistula in dialysis patients at Assiut University Hospital [J]. J Curr Med Res Pract, 2017, 2(2): 119-124.
[19]
Kumbar L, Yee J. Current concepts in hemodialysis vascular access infections [J]. Adv Chronic Kidney Dis, 2019, 26(1): 16-22.
[20]
Alie-Cusson FS, Bhat K, Ramchandani J, et al. Distal revascularization and interval ligation for the management of dialysis access steal syndrome [J]. Ann Vasc Surg, 2021, 74: 29-35.
[21]
Habib J, Baetz L, Satiani B. Assessment of collateral circulation to the hand prior to radial artery harvest [J]. Vasc Med, 2012, 17(5): 352-361.
[22]
Pirozzi N, De Alexandris L, Scrivano J, et al. Ultrasound evaluation of dialysis access-related distal ischaemia [J]. J Vasc Access, 2021, 22(1 Suppl): 84-90.
[23]
Lok CE, Huber TS, Lee T, et al. KDOQI clinical practice guideline for vascular access: 2019 update [J]. Am J Kidney Dis, 2020, 75(4 Suppl 2): S1-S164.
[24]
金其庄,王玉柱,叶朝阳,等. 中国血液透析用血管通路专家共识(第2版)[J]. 中国血液净化2019, 18(6): 365-381.
[25]
Koirala N, McLennan G. Blood flow quantification in dialysis access using digital subtraction angiography: a retrospective study [J]. Comput Methods Programs Biomed, 2020, 190: 105379.
[26]
Almehmi A, Sheta M, Abaza M, et al. Endovascular management of thrombosed dialysis vascular circuits [J]. Semin Intervent Radiol, 2022, 39(1): 14-22.
[27]
Duque JC, Tabbara M, Martinez L, et al. Dialysis arteriovenous fistula failure and angioplasty: intimal hyperplasia and other causes of access failure [J]. Am J Kidney Dis, 2017, 69(1): 147-151.
[28]
Tham WP, Burgmans MC, Tan BS, et al. Percutaneous endovascular treatment to salvage non-maturing arteriovenous fistulas in a multiethnic asian population [J]. Ann Acad Med Singap, 2017, 46(2): 64-71.
[29]
Sun X, He Y, Ma Y, et al. A single-center retrospective analysis of the efficacy of a new balloon catheter in autogenous arteriovenous fistula dysfunction resistant to conventional balloon angioplasty [J]. Ann Vasc Surg, 2018, 48: 79-88.
[30]
Cosovic A, van der Kleij FG, Callenbach PM, et al. The diagnostic value of duplex ultrasound in detecting the presence and location of a stenosis in an autologous arteriovenous fistula [J]. J Vasc Access, 2020, 21(2): 217-222.
[31]
Zhou M, Chen G, Feng L, et al. Effects of ultrasound-guided percutaneous transluminal angioplasty for stenosis of arteriovenous fistula used for hemodialysis and related factors influencing patency [J]. Ann Ital Chir, 2020, 91: 55-60.
[32]
赵意平,郭相江,施娅雪,等. 高压球囊治疗人工血管动静脉内瘘狭窄的初步体会[J]. 中国血液净化2015, 14(1): 25-28.
[33]
Agarwal SK, Nadkarni GN, Yacoub R, et al. Comparison of cutting balloon angioplasty and percutaneous balloon angioplasty of arteriovenous fistula stenosis: a meta-analysis and systematic review of randomized clinical trials [J]. J Interv Cardiol, 2015, 28(3): 288-295.
[34]
Lookstein RA, Haruguchi H, Ouriel K, et al. Drug-coated balloons for dysfunctional dialysis arteriovenous fistulas [J]. N Eng J Med, 2020, 383(8): 733-742.
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