Cardiovascular: Primary arteriovenous fistula Circulatory System Primary arteriovenous fistula
Conditions
Interventions
Purpose of Study:
This study is intended to improve the service available to patients attending hospital for chronic kidney disease (CKD). Many patients suffering from CKD will require some sort of ki
Sponsors
Record Provided by the NHSTCT Register - 2007 Update - Department of Health
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Both groups will be recruited in the same way through the renal consultants and will be randomly allocated to one of two groups. It is predicted that the sample size will be no more than 144 patients in the first year as this is the predicted maximum number of patients requiring primary AVF in this timescale. It is predicted that the final number of patients required for the sample will be approximately 50 per group as a result of a retrospective study performed previously by Robbin et al (2002). Inclusion criteria: 1. Adult patient requiring primary AVF 2. No previous AVF or dialysis via central line 3. Upper limb vein/artery suitable for AVF formation 4. The patients' eGFRml/min/1.73m^2 must be greater than 15 to minimise likelihood of access being required before maturation of primary AVF
Exclusion criteria
Exclusion criteria: 1. Children (<18 years old) 2. Those patients unable to give consent 3. AVG formation required 4. Previous AVF 5. Previous access via central line 6. Patients with failing transplant 7. Patients undergoing peritoneal dialysis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. The specificity and sensitivity of both clinical assessment and ultrasound in predicting AVF success or failure 2. ROC curves will be used to identify the most accurate ultrasound criteria found for predicting AVF failure or success 3. ROC curves will also be used for identifying the optimum time for ultrasound surveillance. | — |
Secondary
| Measure | Time frame |
|---|---|
| Not provided at time of registration | — |
Countries
United Kingdom
Outcome results
None listed