Kidney Failure, Chronic
Conditions
Interventions
C14.240.850.750.147
The sample of will consist of patients with dialytic Chronic Kidney Failure from the hemodialysis clinics of the city of Imperatriz, MA (CNI and CDR). They will undergo a surgical vascular access (a
Other
Sponsors
Faculdade de Medicina do ABC - SP
Universidade Federal do Maranhão
Eligibility
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Adult patients (age bigger then 18 years); both genders; stable clinical condition; arterial lumen diameter bigger ou equal 2.0 mm and venous bigger ou equal 2.5 mm; axillary vein diameter bigger ou equal 4.0 mm for fistulas with expanded polytetrafluoroethylene (PTFE) prosthesis; absence of stenosis or thrombosis in the central venous system; absence of segmental stenoses or occluded arterial segments; patent palmar arch (Allen test); study authorization.
Exclusion criteria
Exclusion criteria: Does not fit inclusion criteria; patients who perform Doppler Ultrasound privately.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improvement the surgical success rate of patients who performed the Doppler Ultrasound comparing to those who did not perform the preoperative exam. Being eliminated 100% of the negative operating (inadequate veins or arteries for doing surgery, which are seen only at the time of surgery, making impracticable the procedure) and improvement the surgical success rate of 10 to 15% in effectively completed surgery; surgical success being assessed by adequate dialysis over a period at least 6 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| Reduction effective cost with arteriovenous fistulas surgery, since it would reduce the number of unsuccessful surgeries performed. ;Decrease of postoperative complications in Doppler Ultrasound patients, because it would already exclude some possible complications, such as edema in central vein stenosis, early thrombosis by changes in the venous e arterial wall. | — |
Countries
Brazil
Contacts
Public ContactJocefábia Lopes
Faculdade de Medicina do ABC - SP
Outcome results
None listed