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Vessel Mapping for Dialysis Access Planning
Author(s) -
Niyyar Vandana Dua,
Wasse Haimanot
Publication year - 2017
Publication title -
seminars in dialysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 78
eISSN - 1525-139X
pISSN - 0894-0959
DOI - 10.1111/sdi.12594
Subject(s) - medicine , hemodialysis , dialysis , hemodialysis access , renal replacement therapy , radiology , magnetic resonance angiography , end stage renal disease , ultrasonography , angiography , iodinated contrast , magnetic resonance imaging , vascular access , population , intensive care medicine , surgery , computed tomography , environmental health
The population of patients with end‐stage renal disease ( ESRD ) in the United States is progressively increasing, with hemodialysis ( HD ) as the major mode of renal replacement therapy. National guidelines recommend increasing the use of arteriovenous fistulae ( AVF ) in both incident and prevalent hemodialysis patients. Pre‐operative vascular mapping prior to the surgical creation of an AVF is now considered standard of care and may be helpful in achieving these goals. This manuscript focuses on the advantages and limitations of the various imaging techniques currently available for vessel mapping including physical examination, ultrasonography, angiography (iodinated contrast vs. CO 2 ), and magnetic resonance angiography ( MRA ), with specific suggestions for clinical use.