Accuracy of Physical Examination in Detecting Arteriovenous Fistula Dysfunction in Hemodialysis Patients : Comparison with Venographic Findings.
- Author:
Jung Ran CHOI
1
;
Young Soo KIM
;
Sun Ae YOON
;
Yoo Dong WON
;
Young Suk SON
;
Woo Jung SONG
;
Ho Cheol SONG
;
Yong Soo KIM
;
Yoon Sik CHANG
;
Byung Kee BANG
;
Young Ok KIM
Author Information
1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. cmckyo@catholic.ac.kr
- Publication Type:Original Article
- Keywords:
Hemodialysis;
Arteriovenous fistula;
Venography;
Physical examination
- MeSH:
Male;
Humans;
Incidence
- From:Korean Journal of Nephrology
2006;25(5):797-802
- CountryRepublic of Korea
- Language:Korean
-
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 findings 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.
