Health Condition 1: N185- Chronic kidney disease, stage 5
Conditions
Interventions
Intervention1: Physical isometric exercise: Physical isometric exercise will be done in one group of patients for 2 weeks following which RCF would be made and exercise continued for 2 weeks after fis
Sponsors
None listed
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients with CKD STAGE 4 OR 5, in predialysios or prevalent HD patients requiring new AVF 2. Feasible features for creation of RCF based on USG doppler ( Arterial diameter > 2mm, venous diameter > 2mm) 3. Ct venogram showing patent peripheral and mental veins in patients with history of previous central venous catheterisation or permanent catheter placement fistula
Exclusion criteria
Exclusion criteria: 1. Absence of adequate arteries and veins to allow autologous AVF on USG doppler 2. Patients with previous AVF failure 3. Patients with central venous stenosis on CT venogram 4. Inability to perform the physical exercise protocol due to physical or mental disabilities or lack of social support 5. Patients not willing to give informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare primary failure rates in patients undergoing RCF surgery with PIE versus patients not doing PIETimepoint: 0, 2, 4, 6 weeks and 3 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To compare USG maturation rates of RCF in patients doing PIE versus patients not doin g PIE 2. To compare successful early cannulation success rates of RCF in patients doing PIE versus patients not doing PIETimepoint: 0, 2, 4, 6 weeks and 3 months | — |
Countries
India
Contacts
Public ContactManish Rathi
PGIMER, Chandigarh
Outcome results
None listed