Objective To search, evaluate and summarize the best evidence for ultrasound-guided autogenous arteriovenous fistula (AVF) puncture. Methods A systematic search of databases for evidence on ultrasound-guided autogenous AVF puncture in maintenance hemodialysis patients was performed, with literature types including clinical guidelines, systematic evaluations, expert consensus, randomized controlled trials and others. The time frame for the search was January 2013 to November 2023. An evidence-based team performed literature screening and quality assessment, and extracted and summarized the evidence. Results A total of 21 publications were screened, including 5 guidelines, 3 expert consensus, one systematic evaluation, 10 randomized controlled trials, and 2 cross-sectional studies. Twenty-five pieces of the evidence were summarized in six areas: concepts related to ultrasound-guided fistula puncture, ultrasound-based vascular assessment, preparation and methods, post-puncture observation, and ultrasound-related training. Conclusion The summarized best evidence for ultrasound-guided fistula puncture can be used as a guideline and norm for clinical caregivers to increase puncture success rate, reduce puncture-related complications, and ensure patient safety.
[1] Coventry L L, Hosking J M, Chan D T, et al. Variables associated with successful vascular access cannulation in hemodialysis patients: a prospective cohort study [J]. BMC Nephrol, 2019, 20(1): 197.
[2] Liu Z, Bible J, Petersen L, et al. Measuring Cannulation Skills for Hemodialysis: Objective Versus Subjective Assessment [J]. Front Med (Lausanne), 2021, 8: 777186.
[3] Onoue A, Akiyama T. Vascular access management of hemodialysis patients at the bedside using point-of-care ultrasound [J]. J Med Ultrason (2001), 2022, 49(4): 619-627.
[4] Iglesias R, Lodi M, Rubiella C, et al. Ultrasound guided cannulation of dialysis access [J]. J Vasc Access, 2021, 22(1_suppl): 106-112.
[5] Vallespin J, Meola M, Ibeas J. Upper limb anatomy and preoperative mapping [J]. J Vasc Access, 2021, 22(1_suppl): 9-17.
[6] Niyyar V D. Ultrasound in dialysis access: Opportunities and challenges [J]. J Vasc Access, 2020, 21(3): 272-280.
[7] Nalesso F, Garzotto F, Muraro E, et al. Ultrasound for the Clinical Management of Vascular Access Cannulation and Needle Position in Hemodialysis Patients [J]. Ultrasound Med Biol, 2020, 46(2): 455-459.
[8] Schoch M, Bennett P N, Currey J, et al. Point-of-care ultrasound-guided cannulation versus standard cannulation in hemodialysis vascular access: A controlled random order crossover pilot feasibility study [J]. J Vasc Access, 2023, 24(5): 1140-1149.
[9] 金其庄, 王玉柱, 叶朝阳, 等. 中国血液透析用血管通路专家共识(第2版) [J]. 中国血液净化, 2019, 18(06): 365-381.
Vascular Access Working Group, Blood Purification Center Branch, Chinese Hospital Association. Consensus among experts o n blood access used for hemodialyis in China (The 2nd edition) [J]. Chin J Blood Purif, 2019, 18(6): 365-381.
[10] Schmidli J, Widmer M K, Basile C, et al. Editor's Choice - Vascular Access: 2018 Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS) [J]. Eur J Vasc Endovasc Surg, 2018, 55(6): 757-818.
[11] Lok C E, Huber T S, Lee T, et al. KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update [J]. Am J Kidney Dis, 2020, 75(4 Suppl 2): S1-S164.
[12] Gallieni M, Hollenbeck M, Inston N, et al. Clinical practice guideline on peri- and postoperative care of arteriovenous fistulas and grafts for haemodialysis in adults [J]. Nephrol Dial Transplant, 2020, 35(12): 2203.
[13] Emma Aitken, Hameed Anijeet, Ashby. D. UK Kidney Association Clinical Practice Guideline Vascular Access For Haemodialysis [EB/OL]. (2023/04/01)[2023/12/01].https://ukkidney.org/sites/renal.org/files/FINAL%20FORMATTED%20Vascular%20access%20for%20haemodialysis%20April%202023.pdf.
[14] ACITN C J J. Nursing Recommendations for the Management of Vascular Access in Adult Hemodialysis Patients 2015 Update [EB/OL]. (2015/04/01)[2023/12/01].https://cannt-acitn.ca/courses/vascular-access-guidelines/2023/06/CANNT-25-S1-2015.pdf.
[15] Group B R S V A. Clinical Practice Recommendations for Needling of Arteriovenous Fistulae and Grafts for Haemodialysis [EB/OL]. (2018/09/01)[2023/12/01].https://vo2k0 qci4747qecahf07gktt-wpengine.netdna-ssl.com/wp-content/uploads/2018/09/Clinical-Practice-Recom mendations-for-Needling-of-Arteriovenous-Fistulae- and-Grafts-for-Haemodialysis.pdf.
[16] AIUM Practice Parameter for the Use of Ultrasound to Guide Vascular Access Procedures [J]. J Ultrasound Med, 2019, 38(3): E4-E18.
[17] Schoch M, Bennett P N, Currey J, et al. Point-of-care ultrasound use for vascular access assessment and cannulation in hemodialysis: A scoping review [J]. Semin Dial, 2020, 33(5): 355-368.
[18] Wu A, Huang H, Zhang H, et al. In-plane guided upper arm arteriovenous fistula cannulation with color ultrasound [J]. Hemodial Int, 2022, 26(4): 496-502.
[19] Chen S, Liu J S, Chai C C, et al. Handheld ultrasound-guided cannulation of difficult hemodialysis arteriovenous access: A randomized controlled trial [J]. Hemodial Int, 2023, 27(1): 21-27.
[20] Eves J, Cai P, Latham R, et al. A randomised clinical trial of ultrasound guided cannulation of difficult fistulae for dialysis access [J]. J Vasc Access, 2021, 22(4): 635-641.
[21] Schoch M L, Currey J, Orellana L, et al. Point-of-care ultrasound-guided cannulation versus standard cannulation in haemodialysis vascular access: protocol for a controlled random order crossover pilot and feasibility study [J]. Pilot Feasibility Stud, 2018, 4: 176.
[22] Kumbar L, Soi V, Adams E, et al. Coronal mode ultrasound guided hemodialysis cannulation: A pilot randomized comparison with standard cannulation technique [J]. Hemodial Int, 2018, 22(1): 23-30.
[23] 詹月妹, 江香花. 彩色多普勒超声引导下疑难动静脉内瘘血管穿刺技术的应用价值 [J]. 深圳中西医结合杂志, 2022, 32(09): 80-83.
Zhan Yuemei, Jiang Xianghua . Application Value of Vascular Puncture Technique of Difficult Arteriovenous Fistula Guided by Color Doppler Ultrasound [J]. Shenzhen Journal of Integrated Traditional Chinese and Western Medicine, 2022, 32(09): 80-83.
[24] 张帆, 袁萍, 李敏, 等. 超声实时引导疑难动静脉内瘘穿刺的应用效果 [J]. 循证护理, 2023, 9(07): 1264-1268.
Zhang Fan, Yuan Ping, Li Min, et al. Application effect of real-time ultrasound guieded puncture of difficut arteriovenous fistula [J]. Chinese Evidence-based Nursing, 2023, 9(07): 1264-1268.
[25] 肖光辉, 张丽红, 詹申, 等. 掌上超声实时引导自体动静脉内瘘初期穿刺效果的初步观察 [J]. 中国血液净化, 2018, 17(09): 633-636.
Xiao Guanghui, Zhang Lihong, Zhan Shen, et al. Handheld ultrasound examination for real-time guidance on cannulation in patients with a new arteriovenous fistula for hemodialysis: a randomized and prospective comparison with standard cannulation technique [J]. Chin J Blood Purif, 2018, 17(09): 633-636.
[26] 马欢, 黎娟荣, 张灵伟. 专项护理在掌上超声引导下疑难动静脉内瘘穿刺患者中的应用 [J]. 齐鲁护理杂志, 2023, 29(19): 117-120.
[27] Dua Niyyar V, Buch K, Rawls F, et al. Effectiveness of ultrasound-guided cannulation of AVF on infiltration rates: A single center quality improvement study [J]. J Vasc Access, 2023, 24(2): 322-328.
[28] 刘华, 王康. 多普勒超声仪在内瘘穿刺困难患者中的应用研究 [J]. 护士进修杂志, 2018, 33(11): 1038-1039.
