JDMS CME Article–SDMS CME Credit

Article: Sonographic Evaluation of an Immature Brescia-Cimino Fistula

Authors: Clare Chappell, BHS, RDMS, RVT

Category: Vascular [VT]

Credit: 0.75 SDMS CME Credit

Objectives: After studying the article entitled “Sonographic Evaluation of an Immature Brescia-Cimino Fistula,” you will be able to:

1. Describe the sonographic features of a dialysis access fistula

2. Describe the sonographic features of a fistula stenosis

3. Determine the clinical significance of hemodynamic abnormalities of a dialysis access fistula

1. Planning for treatment of end-stage kidney disease and failure should be done for patients with _____ kidney disease.

2. Stage 2

3. Stage 3B

4. Stage 4

Prior to placement of an arteriovenous fistula for dialysis access, the vein to be used should be measured to be at least ____ in diameter.

1.5 mm

2.0 mm

2.5 mm

3.0 mm

The most common site for a stenosis related to a dialysis access arteriovenous fistula is

At the venous outflow site

In the afferent artery

In the artery distal to the fistula site

In the central venous system

A commonly used criterion for a successful dialysis access fistula is a volume flow of

300 mL/min

500 mL/min

800 mL/min

950 mL/min

In the report cited in this article, when using the brachial artery for an access fistula, the six-month success rate was

86%

79%

69%

59%