Vascular access

Ultrasound is the standard of care for guiding insertion of dialysis catheters. This is a simple, easily learned procedure that enable nephrologists to insert dialysis catheters and expedite patient care.

​Sonography of AV grafts and fistulas is essential for evaluating dysfunction and poor maturation and that can be performed by nephrologists at the point of care. It is also an important tool for guiding cannulation for dialysis. Point-of-care sonography expedites patient care and leads to better management and outcomes of vascular access.

Tutorials

Doppler ultrasound basics 

Literature

Moore, C., Kollpainter, R., Andrews, L., Moss, P., Chiricolo, G., Niyyar, V.D., Ramakrishna, H., Sobel, J., Thompson, J., Holder, M., Saigal, N., Braga, P., Poe, P., and Dickey, K. Guideline Update: Practice Parameters for the Use of Ultrasound to Guide Vascular Access Procedures. American Institute of Ultrasound in Medicine J Ultrasound Medicine 38: E4-E18, 2019.

Niyyar, V.D. Ultrasound in Dialysis Access: Opportunities and Challenges Journal of Vascular Access: https://doi.org/10.1177/1129729819855487, 2019

Niyyar, V.D. Ultrasound-based Simulation for Cannulation in Outpatient Hemodialysis Units: An Educational Protocol Journal of Vascular Access: https://doi.org/10.1177/1129729819891530, 2019.