Access Resistance Less Variable Than Vascular Access Flow In Surveillance Of Native Fistula

Access resistance remains stable during dialysis and may be a more useful measure of vascular access performance than vascular access flow.

Vascular access flow shows high variation during dialysis, limiting its use as a method for surveillance of native fistula. It can decrease by 30% from baseline, report investigators, possibly impairing its ability to predict vascular access failure.

Measuring vascular access flow has been previously proposed as an ideal method for surveillance of native fistula, the investigators explain, but the effect of blood pressure on vascular access flow during dialysis is unclear. The investigators, from the Department of Nephrology at Monash Medical Centre in Melbourne, Victoria, Australia, studied ten patients during three consecutive dialysis treatments.

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