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< Vol. 13 Issue 2 | Apr-Jun 2012 | pp. 137 - 268

The value of duplex ultrasound in the prediction of brachial Dialysis Access Induced Ischemia Syndrome (DAIIS)

The value of duplex ultrasound in the prediction of brachial Dialysis Access Induced Ischemia Syndrome (DAIIS)

J Vasc Access 2012; 13(2): 187 - 192

Article Type: ORIGINAL ARTICLE

DOI:10.5301/jva.5000025

Authors

Florian Thermann, Udo Junge

Abstract

Purpose: Dialysis access induced ischemia syndrome (DAIIS) is a serious complication of Vascular Access (VA) surgery. It mainly occurs in brachial VA. The aim of this prospective study was to ascertain whether early detection of DAIIS following brachial VA is possible, enabling immediate therapy. Materials and Methods: One hundred and three patients undergoing brachial VA-surgery were surveyed. Duplex ultrasound was performed before and directly after surgery and the flow amplitudes of the distal ulnar and radial arteries were measured. Clinical follow up was performed after two months. In addition, specific patient characteristics were assessed. Results: Sixteen patients (15.5%) developed DAIIS with the need for surgical intervention. Statistical analysis revealed a statistically significant correlation between post-operative flow amplitudes of the distal arteries measured by duplex ultrasound and the development of DAIIS. Conclusions: According to our data, measurement of the flow-amplitudes of distal arteries by duplex ultrasound shortly after surgery predicts the development of DAIIS. This makes immediate therapy possible. We recommend early post-operative duplex-ultrasound investigation following the creation of a brachial VA.

Article History

  • • Accepted on 21/09/2011
  • • Available online on 19/10/2011
  • • Published in print on 29/05/2012

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Authors

  • Thermann, Florian [PubMed] [Google Scholar]
    Department of Vascular and Endovascular Surgery, Hospital St. Elisabeth and St. Barbara, Teaching Hospital of the Martin-Luther-University Halle-Wittenberg, Halle - Germany
  • Junge, Udo [PubMed] [Google Scholar]
    Department of Vascular and Endovascular Surgery, Hospital St. Elisabeth and St. Barbara, Teaching Hospital of the Martin-Luther-University Halle-Wittenberg, Halle - Germany

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