Medico-Legal Update

Nurwanto ¹, Prijambodo ¹, Tri Wulan Handarini ¹, Windhu Purnomo ²

Affiliations
1 Departement of Radiology, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo Teaching Hospital, Surabaya, ID
2 Department of Statistics and Population, Faculty of Public Health, Universitas Airlangga, Surabaya, ID

Abstract

Background: The failure rate of arterio-venous fistula shunt for hemodialysis access in patients with chronic kidney disease is high. Vascular characteristic is one of the important indicators in successful operation. Objective: To determine the association between pre-surgery vascular ultrasonography characteristics and the successful arterio-venous fistula shunt surgery as hemodialysis access in patients with chronic kidney disease stage V. Methods: This study used descriptive analytic studies to determine the relationship between pre-operative vascular ultrasonography characteristics, such as arteries (diameter, velocity, thickness of intima-media tunica) and vein (diameter, velocity, depth) with successful arterio-venous fistula shunt surgery that evaluated in four week post-surgery in patients with chronic kidney disease stage V. Results: Eighteen samples that consisted of 27.8% female and 72.2% male were enrolled in this study. The most surgery location was vascular radio-cephalic of 13 samples (72.2%). Statistical analysis used was Mann-Whitney U Test. There was no significant correlation between arterial diameter (p=0.127), venous diameter of AVFs (p=1.000), arterial velocity (p=0.721), velocity vein (p=0.721), intima media tunica thickness (p=0.721), and venous depth (p=0.192) with successful arterio-venous fistula shunt surgery. Conclusion: There was no significant correlation between diameter, thickness of intima media tunica, and arterial velocity as well as diameter, velocity and venous depth with successful arterio-venous fistula shunt surgery.

Keywords

Vascular, Ultrasonography Examination, Arterio-venous Fistula

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