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Journal of Nephrology
Published in: Journal of Nephrology 1/2017

01-02-2017 | Review

Impaired maturation of distal radio-cephalic fistula for haemodialysis: a review of treatment options

Authors: Nicola Pirozzi, Jose Garcia Medina, Paolo Menè

Published in: Journal of Nephrology | Issue 1/2017

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Abstract

Distal radio-cephalic arteriovenous fistula is the ‘gold standard’ vascular access for chronic hemodialysis. Its main drawback is early failure, which can complicate up to 50 % of this surgical procedure. Two scenarios of failure are possible: early post-operative thrombosis or impaired maturation. The first is mainly due to a defective preoperative evaluation or poor surgical procedure. The latter is a patent angioaccess unable to deliver adequately hemodialysis due to a persistently low blood flow or difficult cannulation. In this article, the causes of impaired maturation will be reviewed, ranging from the stenosis causing low flow to the deep location of the vein in the obese. Treatment options will be described in thorough technical detail, in order to allow the angioaccess team to master them in daily practice.
Literature
1.
Brescia MJ, Cimino JE, Appel K et al (1966) Chronic hemodialysis using venipuncture and a surgically created arteriovenous fistula. N Engl J Med 275:1089–1092CrossRefPubMed
2.
Vascular Access Work Group (2006) Clinical practice guidelines for vascular access. Am J Kidney Dis 48(Suppl 1):S176–S247
3.
Tordoir J, Canaud B, Haage P, Konner K, Basci A, Fouque D, Kooman J, Martin-Malo A, Pedrini L, Pizzarelli F, Tattersall J, Vennegoor M, Wanner C, TerWee P, Vanholder R (2007) EBPG on vascular access. Nephrol Dial Transplant 22(Suppl 2):ii88–ii117
4.
Allon M, Robbin ML et al (2002) Increasing arteriovenous fistula in hemodialysis patients: problems and solutions. Kidney Int 62:1109–1124CrossRefPubMed
5.
Rooijens PP, Tordoir JH, Stjnen T et al (2004) Radiocephalic wrist arteriovenous fistula for hemodialysis: meta-analysis indicates a high primary failure rate. Eur J Vasc Endovasc Surg 20:583–589CrossRef
6.
Lazarides MK, Georgiadis GS, Antoniou GA, Staramos DN (2007) A meta-analysis of dialysis access outcome in elderly patients. J Vasc Surg 45(2):420–426CrossRefPubMed
7.
Tordoir JHM, Bode AS, van Loon MM (2015) Preferred strategy for hemodialysis access creation in elderly patients. Eur J Vasc Endovasc Surg 49(6):738–743CrossRefPubMed
8.
Lomonte C, Forneris G, Gallieni M, Tazza L, Meola M, Lodi M, Senatore M, Morale W, Spina M, Napoli M, Bonucchi D, Galli F (2016) The vascular access in the elderly: a position statement of the Vascular Access Working Group of the Italian Society of Nephrology. J Nephrol [Epub ahead of print]
9.
Wong V, Ward R, Taylor J, Selvakumar S, How TV, Bakran A (1996) Factors associated with early failure of arteriovenous fistulae for hemodialysis access. Eur J Endovasc Surg 12:207–213CrossRef
10.
Chiang WC, Lin SL, Tsai TJ, Hsieh BS (2001) High resistive index of the radial artery is related to early primary radiocephalic hemodialysis fistula failure. Clin Nephrol 56(3):236–240PubMed
11.
Voormolen EH, Jahrome AK, Bartels LW, Moll FL, Mali WP, Blankestijn PJ (2009) Nonmaturation of arm arteriovenous fistulas for hemodialysis access: a systematic review of risk factors and results of early treatment. J Vasc Surg 49 (5):1325–1336
12.
Beathard GA, Settle SM, Shieelds MW (1999) Salvage of the non functioning arteriovenous fistula. Am J Kidney Dis 33(5):910–916CrossRefPubMed
13.
Turmel-Rodrigues L, Mouton A, Birmelé B, Billaux L, Ammar N, Grézard O, Hauss S, Pengloan J (2001) Salvage of immature forearm fistulas for hemodialysis by interventional radiology. Nephrol Dial Transplant 16:2365–2371CrossRefPubMed
14.
Beathard GA, Arnold P, Jackson J, Litchfield T (2003) Aggressive treatment of early fistula failure Kidney Int 64(4):1487–1494
15.
Corpataux JM, Haesler E, Silacci P et al (2002) Low-pressure environment and remodeling of the forearm vein in Brescia-Cimino hemodialysis access. Nephrol Dial Transplant 17:1057–1062CrossRefPubMed
16.
Lehoux ST, Tronc F, Tedgui A et al (2002) Mechanisms of blood flow-induced vascular enlargement. Biorheology 39:319–324PubMed
17.
Barbara BJ, Dardik A, Eng E et al (1998) Shear stress and the endothelium. Kidney Int Suppl 67:S100–S108
18.
Tordoir JHM, Rooyens P, Dammers R, van der Sande FM, de Haan M, Yo TI (2003) Prospective evaluation of failure modes in autogenous radiocephalic wrist access for hemodialysis. Nephrol Dial Transplant 18:378–383
19.
Lomonte C casucci F Antonelli M Giammaria B Losurdo N Marchio G Basile C (2005) Is there place for duplex screening of the brechial artery in the maturation of arteriovenous fistola? Sem Dial 18(3):243–246
20.
Coentrao L (2013) Turmel Rodrigues L Monitoring dialysis arteriovenous fistulae:it’s in our hands. J Vasc Access 14(3):209–2015CrossRefPubMed
21.
Wiese P, Nonnast-Daniel B (2004) Colour Doppler ultrasound in dialysis access. Nephrol Dial Transplant 19:1956–1963
22.
Franco G (2003) Contribution of ultrasonogrphy in late maturation of native fistulae for chronic hemodialysis. J Mal Vasc 28(4):194–199PubMed
23.
Ponsin JC, Levy B, Martineaud JP (1983) Retentissement cardiaque du débit de la fistule artério-veineuse: étude chez 66 hémodialysés chroniques. Presse Med 12:4
24.
Shin S, Do Y, Choo S, Lieu W, Choo I (2005) Salvage of immature arteriovenous fistulas with Percutaneous transluminal angioplasty Cardiovasc Intervent Radiol (28):434–438
25.
Tessitore N, Mansueto C, Lipari C (2006) Endovascular versus surgicaal preemptive repair of forearm arteriovenosu fistula juxta-anastomotic stenosis: analysis of data collected prospectively from 1999 to 2004. Clin J Am Soc Nephrol 1:448–454CrossRefPubMed
26.
Pirozzi N, Garcia-Medina J, Hanoy M (2014) Stenosis complicating vascular access for hemodialysis: indication for treatment. J Vasc Access 15(supp l7):45–49
27.
Guerra A, Raynaud A, Beyssen B, Pagny JY, Sapoval M, Angel C (2002) Arterial percutaneous angioplasty in upper limbs with vascular access devices for hemodialysis. Nephrol Dial Transplant 17:843–851CrossRefPubMed
28.
Raynaud A, Novelli L, Bourquelot P, Stolba J, Beyssen B, Franco G (2009) Low-flow maturation failure of distal accesses: treatment by angioplasty of forearm arteries. J Vasc Surg 49(4):995–999CrossRefPubMed
29.
Turmel-Rodrigues L, Boutin JM, Camiade C, Brillet G, Fodil-Chérif M, Mouton A (2009) Percutaneous dilation of the radial artery in nonmaturing autogenous radial-cephalic fistulas for hemodialysis. Nephrol Dial Transplant 24(12):3782–3788CrossRefPubMed
30.
Turmel Rodrigues L (2014) Mechanical enhancement of AVF maturation. J Vasc Access 15(suppl 7):s55–s59
31.
Georgiadis GS, Georgakarakos EI, Antoniou GA, Panagoutsos S, Argyriou C, Mourvati E, Passadakis P, Lazarides MK (2014) Correlation of pre-existing radial artery macrocalcification with late patency of primary radio-cephalic fistulas in diabetic hemodialisis patients J Vasc Surg 60(2):462–470
32.
Pirozzi N, Apponi F, Napoletano AM, Luciani R, Pirozzi V, Pugliese F (2010) Microsurgery and preventive hemostasis for autogenous radial-cephalic direct wrist access in adult patients with radial artery internal diameter below 1.6 mm. Nephrol Dial Transplant 25(2):520–525CrossRefPubMed
33.
Bharat A, Jaenicke M, Shenoy S (2012) A novel technique of vascular anastomosis to prevent juxta-anastomotic stenosis following arteriovenous fistula creation. J Vasc Surg 55(1):274–280CrossRefPubMed
34.
Badero OJ, Salifu MO, Wasse H, Work J (2007) Frequency of swing segment stenosis in referred dialysis patients with angiographically documented lesion. Am J Kidney Dis 51:93–98CrossRef
35.
Remuzzi A, Ene Lordache B (2013) Novel paradigm for dialysis vascular access:upstream hemodinamics and vascular remodeling in dialysis access stenosis. Clin J Am Soc Nephrol 8(12):2186–2193CrossRefPubMedPubMedCentral
36.
Mihmanl I, Besirli K, Kurugoglu S, Atakir K, Haider S, Ogut G, Numan F, Canturk E, Sayin AG (2001) Cephalic vein and hemodialysis fistula: surgeon’s observation versus color Doppler ultrasonographic findings. J Ultrasound Med 20:217–222CrossRef
37.
Lemson MS, Leunissen KLL, Tordoir JHM (1998) Does preoperative duplex examination improve patencyrates of Brescia-Cimino fistulas? Nephrol Dial Transplant 13:1360–1361CrossRefPubMed
38.
Georgiadis GS, Charalampidis DG, Argyriou C, Georgakaracos EI, Lazarides MK (2015) The necessity for routine pre-operative ultrasound mapping before arteriovenous fistula creation: a meta-analysis. Eur J Vasc Endovasc Surg 49(5):600–605CrossRefPubMed
39.
Robbin ML, Chamberlain NE, Lockhart ME, Gallichio MH, Young CJ, Deierhoi MH, Allon M (2002) Hemodialysis arteriovenous fistula maturity: US evaluation. Radiology 225:59–64CrossRefPubMed
40.
Pirozzi N, Giuliani A, Scrivano J, Pettorini L, Fazzari L, Punzo G, Menè P (2015) Echographic Landmark of cephalic and collateeral acccessory vein at forearm in preoperative evaluation for hemodialysis angioaccess J Vasc Access 16(5):364–366
41.
Tordoir JH, van loon MM, Peppelenbosch N, Bode AS, Poeze M, van der Sande FM (2010) Surgical technique to improve cannulation of hemodialysis vascular access Eur J Vasc Endovasc Surg 39(3):333–339
42.
Bourquelot P, Tawakol JB, Gaudric J, Natario A, Franco G, Turmel-Rodrigues L, Van Laere O, Raynaud A (2009) Lipectomy as a new approach to secondary procedure superficialisation of diret autogenous forearm radial cephalic arteriovenouus accesses for hemodialysis. J Vasc Surg 50(2):369–374
43.
Bourquelot P, Karam L Robert-Ebadi H, Pirozzi N (2015) Trasposition, elevation, lipectomy and V-Wing for easy needling. J Vasc Access 16(suppl 9):s108–s113]
44.
Weyde W, Krajewska M, Letachowicz W, Porazko T, Watorek E, Kusztal M, Banasik M, Golebiowski T, Bartosik H, Madziarska K, Janczak D, Klinger M (2008) Obesity is not an obstacle for successful autogenous arteriovenous fistula creation in hemodialysis. Nephrol Dial Transplant 23:1318–1322
45.
Turmel Rodrigues L Bourquelot P, Pengloan J (2003) Hemodialysis arteriovenous fistula maturity: US evaluation. Radiology 227 (3): 906–907 (author reply 907)
46.
Turmel Rodigues L (2004) The search for maturity. Kidney Int 66(3):128–129
47.
Pirozzi N, Garcia-Medina J, Hanoy M (2014) Stenosis complicating vascular access for hemodialysis: indication for treatment. J Vasc Access 15(suppl7):45–49
48.
Coentrao L Turmel Rodrigues L (2013) Monitoring dialysis arteriovenous fistulae:it’s in our hands J Vasc Access 14(3):209–2015
49.
Leon C, Asif A (2008) Physical examination of arteriovenous fistulae by a renal fellow: does it compares favorably to an experienced interventionalist? Sem Dial 21:557CrossRef
50.
Back MR, Maynard M, Winkler A, Bandyk DF (2008) Expected flow parameters within hemodialysis access and selection for remedial intervention of nonmaturing conduits. Vasc Endovascular Surg 42(2):150–158
51.
Malovrh M (2014) Postopperative assessment of vascular access. J Vasc Access 15(Supp l7):s10–s14
52.
Lazarides MK, Staramos DN, Kopadis G, Maltezos C, Tzilalis VD, Georgiadis GS (2003) Onset of arterial ‘steal’ following proximal angioaccess: immediate and delayed types. Nephrol Dial Transplant 18:2387–2390CrossRefPubMed
53.
Keuter XH, Kessels AG, de Haan MH, van der Sande FM, Tordoir JH (2008) Prospective evaluation of ischemia in brachial basilica and forearm prosthetic arteriovenous fistulas for hemodialysis. Eur J Vasc Endovasc Surg 35(5):619–624CrossRefPubMed
54.
Konner K, Hulbert-Shearon TE, Roys EC, Port FK (2002) Tailoring the initial vascular access for dialysis patients. Kidney Int 62(1):329–38
55.
Mickley V1, Cazzonelli M, Bossinger A (2003) The stenosed Brescia-Cimino fistula: operation or intervention? Zentralbl Chir 128(9):757–761
56.
Long B, Brichart N, Lermusiaux P et al (2011) Perianstomotic stenosis of direct wrist autogenous radial-cephalic arteriovenous access for dialysis: transluminal angioplasty or surgery? J Vasc Surg 53:108–114CrossRefPubMed
57.
Lee T, Tindni A, Roy-Chaudhury P (2013) Improved cumulative survival in fistulas requiring surgical interventions to promote fistula maturation compared with endovascular interventions. Sem Dial 26(1):85–89
58.
Bourquelot P Pirozzi N (2014) Tips and tricks in creation of forearm arteriovenous fistulae. J Vasc Access 15(suppl 7):s45–s49
59.
Pirozzi N, Scrivano J, Pettorini L, Baldinelli M, Punzo G, Menè P (2013) Preventive hemostasis for hemodialysis vascular access surgical reinterventions. J Vasc Access 14(2):193–195
60.
Eidelman M1, Katzman A, Bialik V (2006) A novel elastic exsanguination tourniquet as an alternative to the pneumatic cuff in pediatric orthopedic limb surgery. J Pediatr Orthop B 15(5):379–384
61.
Ladenheim E, Krauthammer J, Agrawal S, Lum C, Chadwick N (2013) A sterile elastic exsanguination tourniquet is effective in preventing blood loss during hemodialysis access surgery. J Vasc Access 14(2):116–119
62.
Turmell Rodrigues L, Beyssen B, Renaud CJ (2013) Dilatation and Stent placement. In: Turmell Rodrigues L, Renaud CJ (eds) Diagnostic and interventional radiology of arteriovenous accesses for hemodialysis, pp 65–130, Springer
63.
Argyriou C, Schoretsanitis N, Georgakarakos EI, Georgiadis GS, Lazarides MK (2015) Preemptive open surgical vs. endovascular repair for juxta-anastomotic stenoses of autogenous AV fistulae: a meta-analysis. J Vasc Access 16(6):454–458CrossRefPubMed
64.
Chawla A, DiRaimo R, Panetta TF (2011) Balloon angioplasty to facilitate autogenous arteriovenous access maturation: a new paradigm for upgrading small-caliber veins, improved function, and surveillance. Semin Vasc Surg 24(2):82–88
65.
Lee T, Ullah A, Allon M, Succop P, El Khatib M, Munda R, Roy-Chaudhury P (2011) Decreased cumulative access survival in arteriovenous fistulas requiring interventions to promote maturation. Clin J Am Soc Nephrol 6:575–581CrossRefPubMedPubMedCentral
66.
Bourquelot P (2012) Access Induced Distal Ischemia. In: Asif A, Agarwal AK, Yevzlin AS, Wu S, Bethard G (eds) Interventional nephrology. McGraw-Hill Co
67.
Basile C, Lomonte C, Vernaglione L, Casucci F, Antonelli M, Losurdo N (2008) The relationship between flow of arteriovenous fistula and cardiac output in hemodialysis patients. Nephrol Dial Transplant 23:282–287CrossRefPubMed
68.
Basile C, Lomonte C, Konner K (2011) The arteriovenous fistula: lesser evil or God’s blessing? Blood Purif 32:253
69.
Ladenheim ED, Krauthammer JP, Burnett J, Dunaway T, Parvez S (2014) Liposuction for superficialization of deep veins after creation of arteriovenous fistulas. J Vasc Access 15(5):358–363CrossRefPubMed
Metadata
Title
Impaired maturation of distal radio-cephalic fistula for haemodialysis: a review of treatment options
Authors
Nicola Pirozzi
Jose Garcia Medina
Paolo Menè
Publication date
01-02-2017
Publisher
Springer International Publishing
Published in
Journal of Nephrology / Issue 1/2017
Print ISSN: 1121-8428
Electronic ISSN: 1724-6059
DOI
https://doi.org/10.1007/s40620-016-0332-3

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