The incidence of hand ischaemia following different techniques for formation of elbow arteriovenous fistula

Completed

• Conditions: End stage renal failure for permanent dialysis; Urological and Genital Diseases; Chronic renal failure

• Registration Number: ISRCTN86060133
• Lead Sponsor: Cambridge University Hospitals NHS Foundation Trust (UK)

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2010-05-04
• Last Update Posted: 18 December 2017

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 70

Inclusion Criteria

1. Aged 17 to 90 years, either sex
2. Suitable for elbow autogenous arteriovenous (AV) fistula as primary or secondary access for haemodialysis

Exclusion Criteria

Patients unable to give consent

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Presence of dialysis access-associated steal syndrome:<br>1. Digital pressure measurement<br>2. Symptoms: cold hand, pain, finger sensibility, strength, cramps<br>3. Signs: capillary refill time, ulcers, gangrenes<br>4. Requirement for intervention, surgical revision or ligation<br><br>Measured at post-operative vascular assess clinic 2 to 3 weeks after the operation or at any timepoint when patients develop ischaemic symptoms up to 12 months follow-up.

Secondary Outcome Measures

Name	Time	Method
1. Primary (unassisted) patency rate<br>2. Secondary (assisted) patency rate<br>3. Complications: haemorrhage, wound infection, stenosis, thrombosis, aneurysm<br><br>Assessed at follow up clinic at monthly interval for the first 3 months and then 3-monthly thereafter.