Effect of brachial plexus block-driven vascular access planning on primary distal arteriovenous fistula recruitment and outcomes

Renaud, Claude J.; Leong, Chuo Ren; Bin, Hsien Wern; Wong, John

doi:10.1016/j.jvs.2015.06.134

Cited by 19 publications

(12 citation statements)

References 24 publications

(40 reference statements)

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“…Reynolds et al 12 reported a 17% modification with primary patency rates of 83%. Renaud et al 13 prospectively evaluated 110 patientsddivided into one group that had favorable vein size on preoperative DUS mapping and another group that had cephalic vein size between 2 and 2.5 mm and also underwent ontable brachial plexus block with ultrasounddand looked at proportions of radiocephalic and brachiocephalic creation. They did not find any significant difference in vein diameter size or maturation rate at 6 weeks and 3 months but had 44% change in the on-table group.…”

Section: Discussionmentioning

confidence: 99%

A comparison of preoperative and intraoperative vein mapping sizes for arteriovenous fistula creation

Hui

Folsom

Killewich

et al. 2018

Journal of Vascular Surgery

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Section: Discussionmentioning

confidence: 99%

A comparison of preoperative and intraoperative vein mapping sizes for arteriovenous fistula creation

Hui

Folsom

Killewich

et al. 2018

Journal of Vascular Surgery

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“…Furthermore, vein size is also affected by venous wall tone, which in turn is related to room temperature, neural vascular sympathetic nerves stimulation or inhibition, drugs or psychological conditions (6, 7). In fact, brachial plexus block-induced venodilatation has been shown to change AVF surgery plan (8). This patient with mental problems may have been frightened when he saw an unfamiliar doctor, which could contribute to venoconstriction during surgery office visit.…”

Section: Discussionmentioning

confidence: 99%

Repeated mappings of arm veins by physical examination: role of nephrologists in the selection of suitable veins for AV fistula surgery

Nguyen¹,

Griffith²

2017

J Vasc Access

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Multidisciplinary team work is important for a successful hemodialysis vascular access program. The authors present a clinical case to illustrate the potential dynamic factors that can affect vein sizes, independent from the operators' skills and experiences. Therefore, if the first examination fails to detect suitable veins, repeated examinations of arm veins by nephrologists during routine office visits may greatly assist the surgeons in the selection of suitable arm veins for arteriovenous fistula surgery.

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“…Reynolds et al [8] reported changes in approximately 17% of surgical plans. Most recently, Renaud et al [9] reported that the surgical plan changed for more than 44% of patients based on post-BPB observations.…”

Section: Kjtcvsmentioning

confidence: 99%

Expandability of Cephalic Veins after Brachial Plexus Block in Arteriovenous Fistula Formation for Hemodialysis

Chun

Ryu

et al. 2021

J Chest Surg

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Background: Arteriovenous fistula (AVF) for hemodialysis is essential for patients with end-stage renal disease. However, it is difficult to maintain AVF reliably. It is vitally important to select proper blood vessels for AVF formation. In a previous study, a minimum diameter of 3 mm for the autologous vein was proposed. However, patients who did not meet the minimum vascular diameter before anesthesia, but fulfilled other criteria, showed satisfactory venous dilatation after brachial plexus block (BPB). This study investigated the extent of vein expansion by BPB and the surgical outcomes of dilated veins after BPB. Methods: Sixty-one patients who underwent AVF formation using an autologous vein between August 2018 and December 2019 were included in the study. The clinical characteristics of the patient groups, hemodynamic parameters including the diameter of blood vessels before and after BPB, and complications were investigated. Based on the venous diameter measured by sonography before anesthesia, patients were divided into group A (26 patients) and group B (35 patients), with venous diameters <3 mm and ≥3 mm, respectively. Results: The venous diameter expanded after anesthesia by 41% overall, by 62% in group A, and by 25% in group B. This difference between groups A and B was statistically significant (p=0.001). No other variables showed statistically significant differences. Conclusion: Sufficient venous dilatation was observed after BPB. Therefore, if the vein is sufficiently dilated after BPB, even in patients with a pre-anesthesia venous diameter <3 mm, surgery may still be performed with an expected desirable outcome.

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Effect of brachial plexus block-driven vascular access planning on primary distal arteriovenous fistula recruitment and outcomes

Cited by 19 publications

References 24 publications

A comparison of preoperative and intraoperative vein mapping sizes for arteriovenous fistula creation

A comparison of preoperative and intraoperative vein mapping sizes for arteriovenous fistula creation

Repeated mappings of arm veins by physical examination: role of nephrologists in the selection of suitable veins for AV fistula surgery

Expandability of Cephalic Veins after Brachial Plexus Block in Arteriovenous Fistula Formation for Hemodialysis

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