Bedside Ultrasonography for Arteriovenous Fistula Cannulation
Abstract
Difficulty in accessing a new arteriovenous fistula (AVF) is a common technical issue in hemodialysis patients, which often leads to interventional radiology and/or vascular surgery referral. As a consequence, the patient who needs dialysis may require a temporary dialysis catheter with its known potential complications. We present a case where bedside ultrasonography facilitated successful cannulation of a difficult AVF. Ultrasonography (US) training in this procedure may allow early cannulation of new AVF s when the venous diameter is large enough (>0.6 cm) but the fistula is too deep (>0.6 cm). Real‐time, US‐guided AVF cannulation may also decrease the number of failed venous punctures per hemodialysis (HD) session minimizing vessel wall damage and subsequent potential hematoma and aneurysm formation.
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The recommendation to use ultrasound guidance for central venous cannulation/insertion has been extrapolated to include real-time use with arteriovenous fistula cannulation.
“The recommendation to use ultrasound guidance for central venous cannulation/insertion has been extrapolated to include real-time use with AVF cannulation [35].”
From Improving vascular access outcomes: attributes of arteriovenous fistula cannulation success (2016) · cites this paper as [35]
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Improving vascular access outcomes: attributes of arteriovenous fistula cannulation success
Harwood, L. E., Wilson, B. M., & Oudshoorn, A. (2016) · Clinical Kidney Journal · doi:10.1093/ckj/sfv158 · Cited by 32 · see citing works
- Authors
- Patel, R. A., Stern, A. S., Brown, M., & Bhatti, S.
- Affiliations
- Icahn School of Medicine at Mount Sinai (US)
- Corresponding author
- Patel, Roshan A.
- Venue
- Seminars in Dialysis
- Publisher
- Wiley
- Published
- 2015-05-27
- Volume
- 28
- Issue
- 4
- Pages
- 433-434
- ISSN
- 0894-0959 (ISSN-L)
- 1525-139X
- OpenAlex
- W1870766710
- Cited by
- 25
- References
- 0
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2022: 3 · 2021: 2 · 2020: 6 · 2019: 4 · 2018: 2 · 2017: 1 · 2016: 2
- FWCI
- 2.87
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Seminars in Dialysis (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Emergency Medical Services › Central Venous Catheters and Hemodialysis
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Ultrasound in Clinical Applications
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Vascular Procedures and Complications
- Keywords
- arteriovenous fistula, point-of-care ultrasound, ultrasound-guided cannulation, hemodialysis vascular access, vascular access complications, hematoma, aneurysm
- MeSH terms
- Point-of-Care Testing, Aged, Arteriovenous Shunt, Surgical, Catheterization, Renal Dialysis, Humans, Male, Ultrasonography, Interventional
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