Chronic Kidney Disease, End-stage Renal Disease Renal Failure / Kidney Failure, Chronic Kidney Disease, CKD, Acute Kidney Injury / Acute Renal Failure, Hemodialysis
Conditions
Interventions
None listed
Sponsors
Yoshida Shun
Eligibility
Inclusion criteria
Inclusion criteria: Patients who meet all of the following criteria will be included: 1. Patients aged 18 years or older with chronic kidney disease or end-stage renal disease (including cases of end-stage renal disease due to acute kidney injury) who undergo shunt creation surgery at each study site between the date of approval by the head of the institution and March 2028. 2. Patients who are able to attend follow-up visits at their respective study sites after enrollment. 3. Patients from whom written informed consent to participate in this study can be obtained.
Exclusion criteria
Exclusion criteria: Patients who meet any of the following criteria will be excluded: 1. Patients scheduled for reoperation within one week of surgery due to acute postoperative shunt stenosis or occlusion. 2. Patients who are otherwise deemed unsuitable for participation by the investigator.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Correlation between early postoperative shunt sounds and shunt blood flow volume (brachial artery flow) at 6 weeks post-surgery. Time to the onset of shunt dysfunction | — |
Secondary
| Measure | Time frame |
|---|---|
| Presence or absence of shunt maturation (defined as Flow Volume > 600 ml/min in the brachial artery) at 6 weeks post-surgery. Presence or absence of FV > 400 ml/min or Resistive Index 400 ml/min or RI < 0.6 at 6 months and 1 year post-surgery. Correlation with shunt blood flow at 6 months and 1 year post-surgery. Presence or absence of shunt dysfunction at 6 months and 1 year post-surgery. | — |
Contacts
Public ContactShun Yoshida
University of Yamanashi Hospital
Outcome results
None listed