Arteriovenous fistula and graft evaluation in hemodialysis patients using MDCT: a primer.

OBJECTIVE Patent arteriovenous fistula (AVF) is related to better prognosis and quality of life for patients on long-term dialysis. When AVF dysfunction is suspected, MDCT is a good noninvasive tool for evaluating the entire AVF structure and determining reversible conditions for treatment. The aim of this article is to introduce the scanning and interpretation techniques and to illustrate the conditions related to early and late fistula failures. CONCLUSION MDCT is a fast, noninvasive, and accurate technique for diagnosing AVF complications. Radiologists familiar with these techniques can help to improve the prognosis and quality of life for hemodialysis patients.

[1]  J. Perl,et al.  The importance of residual kidney function for patients on dialysis: a critical review. , 2009, American journal of kidney diseases : the official journal of the National Kidney Foundation.

[2]  Wen-Lieng Lee,et al.  Comprehensive evaluation of patients with suspected renal hypertension using MDCT: from protocol to interpretation. , 2009, AJR. American journal of roentgenology.

[3]  R. Oyen,et al.  Stenosis detection in native hemodialysis fistulas with MDCT angiography. , 2009, AJR. American journal of roentgenology.

[4]  M. Robbin,et al.  Hemodialysis vascular access monitoring: Current concepts , 2009, Hemodialysis international. International Symposium on Home Hemodialysis.

[5]  L. Salman,et al.  Early and late fistula failure. , 2008, Clinical nephrology.

[6]  I. Tsai,et al.  Homogeneous enhancement in pediatric thoracic CT aortography using a novel and reproducible method: contrast-covering time. , 2007, AJR. American journal of roentgenology.

[7]  B. Dixon Why don't fistulas mature? , 2006, Kidney international.

[8]  A. Fazelzadeh,et al.  Complications of arteriovenous fistula in dialysis patients. , 2006, Transplantation proceedings.

[9]  M. Riella,et al.  Stenosis in hemodialysis arteriovenous fistula: Evaluation and treatment , 2006, Hemodialysis international. International Symposium on Home Hemodialysis.

[10]  E. Rhee,et al.  Endovascular treatment of the "failing to mature" arteriovenous fistula. , 2006, Clinical journal of the American Society of Nephrology : CJASN.

[11]  E. Fishman,et al.  Hemodialysis fistula occlusion: demonstration with 64-slice CT angiography. , 2006, Journal of computer assisted tomography.

[12]  S. Ng,et al.  MDCT angiography for evaluation of the complete vascular tree of hemodialysis fistulas. , 2005, AJR. American journal of roentgenology.

[13]  A. Torres,et al.  Predialysis nephrologic care and a functioning arteriovenous fistula at entry are associated with better survival in incident hemodialysis patients: an observational cohort study. , 2004, American journal of kidney diseases : the official journal of the National Kidney Foundation.