|
KMID : 0359920060250050797
|
|
Korean Journal of Nephrology
2006 Volume.25 No. 5 p.797 ~ p.802
|
|
|
Accuracy of Physical Examination in Detecting Arteriovenous Fistula Dysfunction in Hemodialysis Patients: Comparison with Venographic Findings
|
|
Choi Jung-Ran
Kim Young-Soo
Yoon Sun-Ae
Song Ho-Cheol
Kim Yong-Soo
Chang Yoon-Sik
Bang Byung-Kee
Kim Young-Ok
Won Yoo-Dong
Son Young-Sook
Song Woo-Jung
|
|
|
Abstract
|
|
|
Background : Physical examination is a simple method detecting arteriovenous fistula (AVF) dysfunction in hemodialysis (HD) patients but its accuracy is not well-known. We evaluated the accuracy of physical examination in detecting AVF dysfunction by comparison with venographic findings.
Methods : This study enrolled 46 HD patients receiving native AVF operation. Mean age was 55±13 years and the number of male was 20. Physical examination of AVF was performed for 1 month after the operation by a skilled nurse. And then venography was performed. We compared physical findings with venographic findings.
Results : Of the total 46 patients, 28 patients showed abnormal physical findings. Abnormal find ings included poor maturation (n=18), difficult palpation of vein (n=5), palpation of stenotic lesion (n= 3), weak thrill (n=1). Incidence of abnormal venographic findings was higher in the patients with abnormal physical findings than those in the patients with normal findings (75% vs. 5.5%, p<0.001).
Conclusion : This study suggests that physical examination is an accurate and useful method in detecting early AVF failure. (Korean J Nephrol 2006; 25(5):797-802)
|
|
|
KEYWORD
|
|
|
Hemodialysis, Arteriovenous fistula, Venography, Physical examination
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|