Study of the role of taper graft in preventing access-associated steal syndrome in diabetic ESRD patients
Not Applicable
- Conditions
- Chronic kidney disease, stage 5End stage renal disease.
- Registration Number
- IRCT2013041212993N1
- Lead Sponsor
- Jondi Shpoor University of Medical Sciences
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Complete
- Sex
- All
- Target Recruitment
- 40
Inclusion Criteria
Inclusion: all the diabetic patients with end stage renal disease which are referred for placement of vascular access for hemodialysis and are not candidates for native AVF due to poor upper extremity superficial veins anatomy
Exclusion: deformity, previous fractures or orthopedic operations on wrist and forearm, previous radial-cephalic AV fistula, known vasculitis or Raynaud's phenomenon or other occlusive vascular diseases
Exclusion Criteria
Not provided
Study & Design
- Study Type
- interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Steal syndrome. Timepoint: First: post-op day 1, Second: after initiation of hemodialysis through graft (second week of graft placement). Method of measurement: History: paresthesis and pain, spontanously or during dialysis.Physical Examination: radial pulse, capillary refilling,ischemia or gangrene of hand.
- Secondary Outcome Measures
Name Time Method Effect of brachial artery and axillary vein diameters on development of steal syndrome. Timepoint: Intraoperative. Method of measurement: Diameter in mm using scaled vascular dilatator.;Effect of graft flow rate on development of steal syndrome. Timepoint: Post-op day 1 and second week (2 times). Method of measurement: Color Doppler ultrasound, calculation of flow rate in ml/min.;Effect of type and chronicity and complications of diabetes, and also other atherosclerotic vascular diseases and HTN on development of steal syndrom. Timepoint: Pre-op questionnaire. Method of measurement: History and physical examination.;Mean arterial pressure. Timepoint: intraoperative. Method of measurement: In mmHg using Sphygmomanomerer and calculated by formula:mean arterial pressure= Dia BP + (Sys BP-Dia BP) /3.