Prognostic Value of Finger Blood Pressure in Arteriovenous Fistula Care

NCT ID: NCT06765577

Last Updated: 2025-01-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-08-05

Study Completion Date

2020-02-10

Brief Summary

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The goal of this trial is to investigate the prognostic value of monitoring finger blood pressures (FBPs) in predicting the success of surgically created arteriovenous fistula (AVF) for patients with end stage renal disease. The main questions it aims to answer is:

\- Can FBPs predict AVF maturation?

Participants will undergo FBP measurements at pre-op, immediately post-op, 4 weeks and 6 weeks post-AVF creation.

Detailed Description

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Conditions

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End Stage Renal Disease End-Stage Kidney Disease Dialysis Access Dysfunction

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Patients with End Stage Renal Failure undergoing Arteriovenous Fistula Creation

Group Type EXPERIMENTAL

Finger Blood Pressure Measurement

Intervention Type OTHER

Finger Blood Pressure Measurement were taken from three digits: the thumb (F1), the middle finger (F2), and the little finger (F3) from both arms.

Interventions

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Finger Blood Pressure Measurement

Finger Blood Pressure Measurement were taken from three digits: the thumb (F1), the middle finger (F2), and the little finger (F3) from both arms.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Participants has documented Chronic Kidney Disease (CKD), determined by Glomerular Filtration Rate (GFR)
* Participant is recommended for renal replacement therapy based on clinical assessment of renal function as well as CKD staging, as documented in clinical notes.
* Haemodialysis was chosen as the most appropriate renal replacement therapy
* Participant is able to consent to the creation of an AVF in preparation for hemodialysis.
* Participant is able to adhere to follow-up assessments of AVF maturation, if applicable.

Exclusion Criteria

* Subject had a previous AVF and is now undergoing surgery for another AVF creation
* Subject has amputation distal to AVF
* Subject is pregnant or planning to conceive
* Participants is unable to consent
Minimum Eligible Age

21 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Singapore General Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Tze Tec Chong, MBBS, RPVI

Role: PRINCIPAL_INVESTIGATOR

Singapore General Hospital

Locations

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Singapore General Hospital

Singapore, SG, Singapore

Site Status

Countries

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Singapore

References

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McGrogan DG, Maxwell AP, Khawaja AZ, Inston NG. Current tools for prediction of arteriovenous fistula outcomes. Clin Kidney J. 2015 Jun;8(3):282-9. doi: 10.1093/ckj/sfv019. Epub 2015 Apr 2.

Reference Type BACKGROUND
PMID: 26034589 (View on PubMed)

Lee KG, Chong TT, Goh N, Achudan S, Tan YL, Tan RY, Choong HL, Tan CS. Outcomes of arteriovenous fistula creation, effect of preoperative vein mapping and predictors of fistula success in incident haemodialysis patients: A single-centre experience. Nephrology (Carlton). 2017 May;22(5):382-387. doi: 10.1111/nep.12788.

Reference Type BACKGROUND
PMID: 27042772 (View on PubMed)

Alfano G, Fontana F, Cappelli G. Noninvasive Blood Pressure Measurement in Maintenance Hemodialysis Patients: Comparison of Agreement between Oscillometric and Finger-Cuff Methods. Nephron. 2017;136(4):309-317. doi: 10.1159/000457812. Epub 2017 May 4.

Reference Type BACKGROUND
PMID: 28468005 (View on PubMed)

Other Identifiers

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2019/2459

Identifier Type: -

Identifier Source: org_study_id

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