ACR AC Portal

Home Dialysis Fistula Malfunction

Variants

Clinical suspicion of central venous stenosis or occlusion suggested by swelling (ie, soft tissue edema) of the extremity ipsilateral to the upper or lower extremity hemodialysis access, with or without the development of venous collaterals. Initial imaging to guide interventional radiologic therapy options.

Documents

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Hemodialysis access, upper extremity, ipsilateral extremity swelling, with or without venous collaterals, central venous stenosis suspected, initial imaging, guide IR therapy

3196491

Fluoroscopy fistulography hemodialysis access upper extremity

1-10 mSv
☢☢☢

Usually appropriate

CTA upper extremity with IV contrast

1-10 mSv
☢☢☢

Usually not appropriate

CTV upper extremity with IV contrast

10-30 mSv
☢☢☢☢

Usually not appropriate

MRA upper extremity without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRA upper extremity without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRV upper extremity without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRV upper extremity without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

US duplex Doppler hemodialysis access upper extremity

0 mSv
O

0 mSv [ped]
O

Usually not appropriate