renal insufficiency and hemodialysis access
Conditions
Interventions
Creation of an arteriovenous fistula for hemodialysis
The intervention will either be Basilic vein transposition or creation of an
ellbow arteriovenous fistula.
Sponsors
Sint Franciscus Gasthuis
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: -end stage renal failure with need for chronic intermittent hemodialysis -creation of a forerarm fistula is not feasible, or failure of a forearm graft or fistula. -diameter of brachial artery, cephalic and basilic upper-arm vein of at least 3.0 mm
Exclusion criteria
Exclusion criteria: -active locoregional or systemic infection -ischemia of ipsilateral arm -not being able to understand and/or give informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| primary study parameters: 1. is there a difference in primary patency after one year? | — |
Secondary
| Measure | Time frame |
|---|---|
| Secundary study parameters: 1. is there a difference in thrombosis-free interval? 2. is there a difference in the amount of interventions needed? 3. Is there a difference in usability ? a. duration untill first cannulation b. total time of non-usability as a result of revision operations c. easy cannulation d. time of compression for hemostasis after cannulation e. complications: infection, thrombosis, aneurysm, haematoma, steal, edema 4. effect of fistula on periferal circulation | — |
Countries
Netherlands
Outcome results
None listed