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| ID | Type | Description | Link |
|---|---|---|---|
| ID-RCB | Other Identifier | 2019-A00767-50 |
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Arteriovenous fistula (AVF) is the recommended vascular access for chronic hemodialysis, as it is associated with less mortality and better patency than arteriovenous graft (AVG) or central venous catheter (CVC).
Unfortunately, AVF suffers from a high failure rate, due, in part, to poor venous diameter.
The aim of this study is to investigate whether a perioperative handgrip training can improve the diameter of AVF in patients with chronic kidney disease (CKD) (stage IV-V).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Exercise | Experimental |
| |
| Control | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Handgrip exercise program | Procedure | Handgrip exercise with a rubber ball 4 weeks before the surgery until 4 weeks after the surgery 20 contractions per minute for a total of 20 minutes each day. |
| Measure | Description | Time Frame |
|---|---|---|
| Arteriovenous Fistula (AVF diameter) | Arteriovenous Fistula diameter will be measured by Doppler ultrasound | at 6 weeks (after surgery) |
| Measure | Description | Time Frame |
|---|---|---|
| Echographic maturation rate | Maturation rate of Arteriovenous Fistula (AVF) by echography defined as blood flow>600milliLiters/minute (mL/min), diameter>6millimeters (mm) and depth <6mm | at 6 weeks (after surgery) |
| Clinical maturation rate |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Abbas DEEB, PhD | Hospices Civils de Lyon | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Service de néphrologie, dialyse et nutrition rénale - Centre Hospitalier Lyon Sud | Pierre-Bénite | 69310 | France |
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| ID | Term |
|---|---|
| D001164 | Arteriovenous Fistula |
| ID | Term |
|---|---|
| D001165 | Arteriovenous Malformations |
| D054079 | Vascular Malformations |
| D018376 | Cardiovascular Abnormalities |
| D002318 | Cardiovascular Diseases |
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Arteriovenous Fistula (AVF) measured by a vein easily palpable, relatively straight, with a uniform sensation of quivering and more than 10centimeters (cm) long.
| at 6 weeks (after surgery) |
| Arteriovenous Fistula (AVF) localization (arm or forearm) | After the patient's examination, the vascular surgeon will choose the future AVF localization | at 6 weeks (after surgery) |
| Arteriovenous Fistula (AVF) interventions | Necessity of performing an intervention (such as angioplasty or thrombolysis or thrombectomy or superficialization) on the Arteriovenous Fistula (AVF) | up to 6 weeks |
| Emergency hemodialysis on Central Venous Catheter (CVC) | Necessity of patients on CVC to undergo emergency hemodialysis | up to 6 weeks |
| Emergency hemodialysis on Arteriovenous Graft (AVG) | Necessity of patients on AVG to undergo emergency hemodialysis | up to 6 weeks |
| D016157 | Vascular Fistula |
| D014652 | Vascular Diseases |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D005402 | Fistula |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |