Overview
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).
Eligibility
Inclusion Criteria:
- Patients older than 18 years
- with chronic kidney disease (Estimated Glomerular Filtration Rate (eGFR) <30 milliLiter/minute (mL/min))
- with follow-up at the University Hospital of Lyon Sud
- who choose hemodialysis as renal replacement therapy
Exclusion Criteria:
- contraindication for arteriovenous fistula (AVF) surgery
- refusing AVF creation
- prior vascular access
- antecedent of IV substance abuse
- active cancer
- inability to perform handgrip exercise
- physical or mental disability limiting follow-up possibility
- inclusion in an other interventional study
- no social welfare