Abstract
Current therapeutic options for the treatment of chronic uremia require a multidisciplinary approach in which nephrologists, urologists and other surgeons, and radiologists must work together to achieve maximum benefit for the patient. Because of the interventional techniques now available, the radiologist has a very active role to play in the treatment of malfunctioning dialysis fistulas. The main purpose of this chapter is to describe the potential diagnostic value of color-coded Doppler sonography (CCDS) in the noninvasive evaluation of hemodialysis fistulas. It should be noted that angiography (preferably digital subtraction angiography) still holds its position as a “gold standard” shunt evaluation method and can provide more accurate and complete information than CCDS. The two procedures probably have a complementary role to play, as is often the case when new medical diagnostic modalities become available. In the following sections we will discuss the typical appearance of pathologic changes occurring in dialysis fistulas and will also note the difficulties which can be encountered when using CCDS in the diagnostic work-up of patients with shunt malfunction.
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Hübsch, P., Trattnig, S. (1992). Color-coded Doppler sonography of dialysis fistulas. In: Frühwald, F.X.J., Blackwell, D.E. (eds) Atlas of Color-Coded Doppler Sonography. Springer, Vienna. https://doi.org/10.1007/978-3-7091-9195-8_8
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DOI: https://doi.org/10.1007/978-3-7091-9195-8_8
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