Volume 60, Issue 5, Pages (November 2001)

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Volume 60, Issue 5, Pages 2013-2020 (November 2001) Effect of preoperative sonographic mapping on vascular access outcomes in hemodialysis patients Michael Allon, M.D., Mark E. Lockhart, Regina Z. Lilly, Michael H. Gallichio, Carlton J. Young, Jill Barker, Mark H. Deierhoi, Michelle L. Robbin Kidney International Volume 60, Issue 5, Pages 2013-2020 (November 2001) DOI: 10.1046/j.1523-1755.2001.00031.x Copyright © 2001 International Society of Nephrology Terms and Conditions

Figure 1 Outcomes of vascular access procedures performed in the historical period (April 1, 1996 to March 31, 1998) during which physical examination alone was used to guide the surgeons (Pre-VM), and in a subsequent period (November 1, 1998 to March 31, 2000) during which routine preoperative sonographic vascular mapping was used by the surgeons (post-VM; P < 0.001 for the comparison). Symbols are: (▪) fistula not placed; (□) fistula placed but not adequate; () fistula placed and adequate. Kidney International 2001 60, 2013-2020DOI: (10.1046/j.1523-1755.2001.00031.x) Copyright © 2001 International Society of Nephrology Terms and Conditions

Figure 2 Adequacy of fistulas for dialysis, stratified by location of fistula during two time periods. In the historical period (April 1, 1996 to March 31, 1998) physical examination alone was used to guide the surgeons (pre-VM), and in the subsequent period (November 1, 1998 to March 31, 2000) routine preoperative sonographic vascular mapping was used by the surgeons. Symbols are: (▪) upper arm; (□) forearm; **P < 0.001 for the comparison. Kidney International 2001 60, 2013-2020DOI: (10.1046/j.1523-1755.2001.00031.x) Copyright © 2001 International Society of Nephrology Terms and Conditions

Figure 3 Primary (unassisted) survival of all useable fistulas (solid line) and grafts (dashed line). Primary survival is the time between graft placement and the first salvage procedure (thrombectomy, angioplasty or surgical revision (P = 0.005). Kidney International 2001 60, 2013-2020DOI: (10.1046/j.1523-1755.2001.00031.x) Copyright © 2001 International Society of Nephrology Terms and Conditions

Figure 4 Secondary (assisted) survival of fistulas (solid line) and grafts (dashed line). Secondary survival is the time from access placement to permanent access failure. Accesses that were never useable for dialysis were considered to have zero survival time. P < 0.05 for the analysis limited to first six months; P = 0.30 for the overall comparison. Kidney International 2001 60, 2013-2020DOI: (10.1046/j.1523-1755.2001.00031.x) Copyright © 2001 International Society of Nephrology Terms and Conditions