Effect of hydrostatic venous dilatation during creation of arterio-venous fistula on maturation of hemodialysis access

Abstract

Background: Objective of AV access creation is furnish an available vascular structure with enough blood stream that can be cannulated for satisfactory dialysis. Ultrasonographic assessment is considered a standard strategy for each medical procedure of AVF creation. It determines utilized AVF work monitoring, in post-operative period. Objective: To review and discuss the advances of the effect of hydrostatic venous dilatation during intra operative arteriovenous fistula creation in end stage renal disease patients and its effect on maturation of the fistula guided by preoperative and post operative Duplex assessment. Patients and methods: This prospective study performed on 40 patients presented in vascular surgery department at, Al-Azhar university hospitals (Al-Hussin and Bab -Alsheryah Hospitals). Patients were monitored regularly in dialysis unit, data collected included patient demographics, comorbidities, any previous vascular access, type of anatomical site of current AVF, details of operative procedure exact expected time and functional maturation. Patient selectively directed surgical AVF creation with Estimated Glomerular Filtration Rate (e-GFR)