Current role of ultrasound in hemodialysis access evaluation.
B-Mode and pulsed wave Doppler
Vascular access
point of care of ultrasound
ultrasound instrumentation
vascular access surveillance
Journal
The journal of vascular access
ISSN: 1724-6032
Titre abrégé: J Vasc Access
Pays: United States
ID NLM: 100940729
Informations de publication
Date de publication:
Nov 2021
Nov 2021
Historique:
pubmed:
23
7
2021
medline:
25
11
2021
entrez:
22
7
2021
Statut:
ppublish
Résumé
Physical examination (PE) is considered the backbone before vascular access (VA) placement, during maturation period and for follow-up. However, it may be inadequate in identifying suitable vasculature, mainly in comorbid patients, or in detecting complications. This review highlights the advantages of ultrasound imaging to manage VA before placement, during maturation and follow-up. Furthermore, it analyses the future perspectives in evaluating early and late VA complications thank to the availability of multiparametric platforms, point of care of ultrasound, and portable/wireless systems. Technical improvements and low-cost systems should favor the widespread ultrasound-based VA surveillance programs. This significant turning point needs an adequate training of nephrologists and dialysis nurses and the standardization of exams, parameters, and procedures.
Identifiants
pubmed: 34289727
doi: 10.1177/11297298211034638
pmc: PMC8606805
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
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