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Title

Predictive efficacy of color Doppler in wrist radio-cephalic AV fistula creation: A prospective study

 

Authors

Shashi Kumar*, Nallabothula Anil Kumar, Chilekampalli Konda Reddy & Nalumaru Anirudh Suseel

 

Affiliation

Department of Urology, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India; *Corresponding author

 

Email

Shashi Kumar - E-mail: drskrcmc@gmail.com
Nallabothula Anil Kumar - E-mail: drak_94@yahoo.co.in
Chilekampalli Konda Reddy - E-mail: kondareddy.chilekampalli@gmail.com

Nalumaru Anirudh Suseel - E-mail: anirudhsuseel92@gmail.com

 

Article Type

Research Article

 

Date

Received August 1, 2025; Revised August 31, 2025; Accepted August 31, 2025, Published August 31, 2025

 

Abstract

High rates of early failure and non-maturation remain major challenges in wrist radio-cephalic arteriovenous fistula (RC-AVF) creation for hemodialysis access. Therefore, it is of interest to assess the role of preoperative color Doppler ultrasonography (CDUS) in predicting successful fistula maturation in 80 patients. Radial artery diameter ≥2.0 mm and cephalic vein diameter ≥2.5 mm were significantly associated with maturation (p < 0.05), with CDUS showing 87% sensitivity and 75% specificity. Higher flow volumes also correlated with better outcomes. Preoperative CDUS is a valuable tool that enhances patient selection and improves AVF success rates.

 

Keywords

Color Doppler, radio-cephalic arteriovenous fistula, hemodialysis access, fistula maturation, vascular ultrasound, preoperative assessment

 

Citation

Kumar et al. Bioinformation 21(8): 2417-2420 (2025)

 

Edited by

Hiroj Bagde

 

ISSN

0973-2063

 

Publisher

Biomedical Informatics

 

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.