JCNRJournal of Clinical and Nursing Research2208-36852208-3693Bio-Byword Scientific Publishing Pty. Ltd.10.26689/JCNR.v10i8.15420ArticleClinical Value of Preoperative High‑Frequency Color Doppler Ultrasound in Arteriovenous Fistula Assessmenthttps://artdesignp.com/journal/JCNR/10/8/10.26689/JCNR.v10i8.15420WuDi,HuangShuai,WangJunyan,LiuHejing,WangYue20261082026-08-31Objective: To evaluate the value of high‑frequency color Doppler ultrasound in preoperative assessment of autogenous arteriovenous fistula (AVF) in patients with end‑stage renal disease (ESRD). Methods: A total of 140 ESRD patients who underwent forearm autogenous AVF creation between January 2023 and December 2025 were enrolled. Preoperative high‑frequency ultrasound imaging data, surgical records, and postoperative follow‑up data were collected. Based on preoperative ultrasound assessment and postoperative AVF functional status, patients were divided into two groups according to preoperative cephalic vein internal diameter: the suitable group (diameter ≥ 2.075 mm, n = 85) and the high‑risk group (diameter < 2.075 mm, n = 55). Postoperatively, patients were further classified into the patent group (n = 93) and the failure group (n = 47) according to AVF function. Differences in bilateral radial artery and cephalic vein anatomical parameters between groups were compared. Receiver operating characteristic (ROC) curve analysis was used to determine the predictive value of key ultrasound parameters for AVF failure. Results: The high‑risk group had longer operative duration, a higher proportion of end‑to‑side anastomosis, and a higher overall postoperative complication rate compared to the suitable group (all p < 0.05). The patent group demonstrated significantly larger preoperative bilateral radial artery internal diameters, ipsilateral cephalic vein internal diameter, and postoperative brachial artery and fistula blood flow volumes compared to the failure group (all p < 0.05). Conclusion: Preoperative high‑frequency color Doppler ultrasound provides comprehensive quantification of vascular anatomy and hemodynamic parameters in ESRD patients undergoing forearm AVF creation. Cephalic vein internal diameter is a core predictor of AVF success and long‑term patency, guiding preoperative vascular stratification management and anastomotic strategy selection, and facilitating early prevention and control of vascular access complications.Arteriovenous fistula, Preoperative, High frequency color Doppler ultrasound

[1]       Li N, Zhang M, Lyu Y, et al., 2022, Current Clinical Application and Prospects of Ultrasound Technology for Hemodialysis Arteriovenous Fistula. Chinese Journal of Kidney Disease Investigation (Electronic Edition), 11(2): 99–103. [2]       Brimble K, Rabbat C, Schiff D, et al., 2001, The Clinical Utility of Doppler Ultrasound Prior to Arteriovenous Fistula Creation. Seminars in Dialysis, 14(5): 314–317. [3]       Huang L, Li Y, Wang Y, et al., 2024, Value of Color Doppler Ultrasound in Preoperative and Postoperative Evaluation of Autogenous Arteriovenous Fistula in Hemodialysis Patients. China Practical Medicine, 19(3): 78–81. [4]       Michas V, Taghipour M, Papachristodoulou A, et al., 2023, Multiparametric Ultrasound for Upper Extremity Dialysis Access Evaluation. Ultrasonography, 42(4): 490–507. [5]       Gong L, Wang S, Yan M, 2019, Application of Color Doppler Ultrasound in Preoperative Target Vessel Selection and Postoperative Fistula Tract Detection for Autogenous Arteriovenous Fistula in Uremic Hemodialysis Patients. Anhui Medical and Pharmaceutical Journal, 23(9): 1852–1854. [6]       Liu J, 2024, Application of High-Frequency Color Doppler Ultrasound in Preoperative Target Vessel Selection for Autogenous Arteriovenous Fistula in ESRD Patients on Maintenance Hemodialysis. Journal of Practical Medical Techniques, 31(3): 191–194. [7]       Zhang L, Hou Y, Sun X, et al., 2020, Clinical Value of Preoperative Vascular Ultrasound Examination for Wrist Autogenous Arteriovenous Fistula. Chinese Journal of Blood Purification, 19(1): 29–32. [8]       Yang Z, Zhang J, Wang J, et al., 2022, Clinical Application of Ultrasound-Guided Percutaneous Balloon Dilatation for Arteriovenous Fistula Stenosis in Hemodialysis Patients. Chinese Journal of Metallurgical Industry Medicine, 39(4): 384–386. [9]       Xie J, Lu S, 2022, Clinical Application of Color Doppler Ultrasound in Hemodialysis Access of Arteriovenous Fistula. Imaging Research and Medical Applications, 6(2): 176–178. [10]     Liu Y, Chen X, Liang X, et al., 2024, Application Value of Color Doppler Ultrasound in Prevention and Treatment of Complications of Autogenous Arteriovenous Fistula. Medical Equipment, 37(1): 71–74. [11]     Nursal T, Oguzkurt L, Tercan F, et al., 2006, Is Routine Preoperative Ultrasonographic Mapping for Arteriovenous Fistula Creation Necessary in Patients With Favorable Physical Examination Findings? Results of a Randomized Controlled Trial. World Journal of Surgery, 30(6): 1100–1107. [12]     Chytilova E, Jemcov T, Malik J, et al., 2021, Role of Doppler Ultrasonography in the Evaluation of Hemodialysis Arteriovenous Access Maturation and Influencing Factors. The Journal of Vascular Access, 22(1_suppl): 42–55. [13]     Parmar J, Aslam M, Standfield N, 2007, Pre-Operative Radial Arterial Diameter Predicts Early Failure of Arteriovenous Fistula (AVF) for Haemodialysis. European Journal of Vascular and Endovascular Surgery, 33(1): 113–115. [14]     Zhang Q, Tang Q, Xu P, 2025, Application Study of Risk Prediction Model for Arteriovenous Fistula Complications Based on Color Doppler Ultrasound and Clinical Multiparameters. Chinese Journal of Medical Guide, 27(6): 576–580. [15]     Li Y, Chang J, 2023, Value of Color Doppler Ultrasound in Evaluating Hemodynamics and Fistula Maturation in Patients After Autogenous Arteriovenous Fistula Angioplasty. Medical Information, 36(1): 129–131. [16]     Huang S, Zhou J, 2023, Value of Color Doppler Ultrasound in Evaluating Blood Flow and Stenosis of Autogenous Arteriovenous Fistula in Hemodialysis Patients. Medical Information, 36(20): 173–176.