End-stage kidney disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients who are scheduled for arteriovenous fistula creation for hemodialysis. 2. Patients who have a sufficient understanding of the research and provide consent. 3. Patients who are 18 years of age or older at the time of obtaining consent.
Exclusion criteria
Exclusion criteria: 1. Patients with arterial vessel diameter at the planned arteriovenous fistula site of 1.5mm or less. 2. Patients with venous vessel diameter at the planned arteriovenous fistula site of 2mm or less after tourniquet 3. Patients with significant arterial sclerosis at the planned arteriovenous fistula site. 4. Patients with glaucoma. 5. Patients with cataracts. 6. Patients with BMI >= 35. 7. Patients with skin disorders at the planned irradiation site. 8. Patients who are considered unsuitable for participation in this study by the attending physician.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The difference/change rate in vein diameter with the use of tourniquet before and after stellate ganglion light irradiation (mm/%): A) Creation site in the forearm: Cephalic vein at the wrist. B) Creation site in the upper arm: Cephalic vein at the elbow. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. The difference/change rate in arterial vessel diameter before and after stellate ganglion light irradiation (mm/%): A) Creation site in the forearm: Radial artery at the wrist. B) Creation site in the upper arm: Radial artery at the elbow. C) Creation site in the upper arm using the brachial artery (upstream of the radial artery): Brachial artery. 2. The blood flow in the brachial artery immediately after surgery. 3. The pain VAS (Visual Analogue Scale) immediately after surgery. 4. Surgical duration. 5. The change of the planned fistula creation site from upper arm to forearm. 6. The fistula patency rate at 1 month: Confirmed by fistula sound, thrill, and ultrasound. | — |
Contacts
Kameda Medical Center