Discriminative Role of Brachial Artery Doppler Parameters in Correlation with Hemodialysis Arteriovenous Fistula
Purpose. The aim of this study was to evaluate the flow volume and resistive index parameters of the brachial artery in the functioning and dysfunctioning radiocephalic and brachiocephalic hemodialysis arteriovenous fistula (AVF).
Methods. 82 patients were distributed into three groups according to their hemodialysis function - as normal function, decreased pump flow and increased venous pressure. Flow volumes and resistive indexes (RI) of the brachial artery of radiocephalic and brachiocephalic AVFs were measured by Doppler ultrasound. Flow parameters of the groups were compared.
Results. A statistically significant difference was found between the normal and decreased pump flow groups in terms of flow volume and resistive index values. 770 ml/min flow volume of the brachial artery has a 94% sensitivity and 84% specificity and 0.52 value of RI has an 89% sensitivity and 88% specificity in the the differentiation of normal and decreased pump flow groups.
Conclusion. Doppler parameters of the brachial artery such as flow volume and RI can provide valuable information about AVF function.