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The project intends to study the effects of hand grip exercise performed after the surgery on the consequence of surgically created connection between artery and vei

Phase 3
Completed
Conditions
Health Condition 1: null- Chronic Kidney Disease type V patients visiting surgery clinic for creation of Arterio venous fistula for the purpose of haemodialysis
Registration Number
CTRI/2017/04/008283
Lead Sponsor
Departmental Funds Study trial is funded by Department of Surgical Disciplines AIIMS New Delhi
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
200
Inclusion Criteria

1. CKD 4-5 patients visiting surgery clinic for creation of AVF for the purpose of haemodialysis

2. 18 to 65 years years of age both male and female

3. Presence of thrill / bruit at operated site after AV-fistula surgery.

4. Patient is able to follow instructions

5. Patients are ready for regular follow up

6. Able to provide informed written consent

Exclusion Criteria

1. History of previous surgery on upper limb

2. Ipsilateral central venous stenosis or occlusions of vein that is not amenable to correction

3. Non-compliance with medical care or follow up

4. Patient suffering from psychiatry problems

5. Contraindications or unable to perform handgrip exercise:

A) upper extremity arthritis, musculoskeletal or neurologic problem that prevents arm exercise

B) Hypertension - SBP >180, DBP >90;

C) Hypotension - SBP <90, DBP <60

D) Documented coronary artery disease or episode of angina pectoris

E) NYHC IV heart failure

6. Unable to give consent or patient refusal

7. Absence of thrill / bruit at operated site after AV-fistula surgery.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
to study the efficacy of hand grip exercise on the outcome AV-fistula surgery. <br/ ><br> <br/ ><br>Efficacy means: Maturation and success of AV fistula surgery. <br/ ><br> <br/ ><br>Objective definition of maturation of AV-fistula <br/ ><br> <br/ ><br>1 Cross sectional luminal diameter of draining vein 4mm measured using duplex ultrasonography <br/ ><br> <br/ ><br>2 Intra-access flow rate in draining vein 500ml/hr measured using duplex ultrasonography <br/ ><br>Timepoint: 0 weeks <br/ ><br>4 weeks <br/ ><br>8 weeks <br/ ><br>
Secondary Outcome Measures
NameTimeMethod
ILTimepoint: 0
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