Chronic kidney disease Arteriovenous fistula creation Small vein diameter Far infrared therapy Arteriovenous fistula creation Isometric handgrip exercise
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Cephalic vein size 1.6 to 1.9 mm with no evidence of thrombosis on duplex ultrasonography 2. Artery size of at least 2.0 mm 3. Planning for brachiocephalic fistula.
Exclusion criteria
Exclusion criteria: 1. Any complex vascular procedure such as redo procedure, brachiobasilic fistula or arteriovenous graft procedure 2. History of large vessel thrombosis 3. Known cardiovascular dysfunction (hypotension SBP less than 90 mmHg, diagnosed myocardial infarction within last 6 months, LVEF less than 35%, obstructive cardiomyopathy, severe aortic stenosis where gradient more than 40 mmHg) 4. Patient on anticoagulant.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in cephalic vein diameter 1 month post intervention millimetre | — |
Secondary
| Measure | Time frame |
|---|---|
| Change in brachial artery diameter 1 month post intervention millimetre,Number of patients achieving 2 millimeter cephalic vein diameter 1 month post intervention Frequency,Maturation rate 6 weeks post-BCF creation Frequency | — |
Countries
Malaysia
Contacts
Universiti Kebangsaan Malaysia