Exercise Program for Arteriovenous Fistula Maturation (FAVULOUS)
Benefits of a Perioperative Exercise Program on Maturation of Dialysis Arteriovenous Fistulas
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).
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Abbas DEEB, PhD
- Phone Number: 33 04.72.67.87.03
- Email: abbas.deeb@chu-lyon.fr
Study Locations
-
-
-
Pierre-Bénite, France, 69310
- Service de néphrologie, dialyse et nutrition rénale - Centre Hospitalier Lyon Sud
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
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
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
No Intervention: Control
|
|
|
Experimental: Exercise
|
Handgrip exercise with a rubber ball 4 weeks before the surgery until 4 weeks after the surgery 20 contractions per minute for a total of 20 minutes each day.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Arteriovenous Fistula (AVF diameter)
Time Frame: at 6 weeks (after surgery)
|
Arteriovenous Fistula diameter will be measured by Doppler ultrasound
|
at 6 weeks (after surgery)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Echographic maturation rate
Time Frame: at 6 weeks (after surgery)
|
Maturation rate of Arteriovenous Fistula (AVF) by echography defined as blood flow>600milliLiters/minute (mL/min), diameter>6millimeters (mm) and depth <6mm
|
at 6 weeks (after surgery)
|
|
Clinical maturation rate
Time Frame: at 6 weeks (after surgery)
|
Arteriovenous Fistula (AVF) measured by a vein easily palpable, relatively straight, with a uniform sensation of quivering and more than 10centimeters (cm) long.
|
at 6 weeks (after surgery)
|
|
Arteriovenous Fistula (AVF) localization (arm or forearm)
Time Frame: at 6 weeks (after surgery)
|
After the patient's examination, the vascular surgeon will choose the future AVF localization
|
at 6 weeks (after surgery)
|
|
Arteriovenous Fistula (AVF) interventions
Time Frame: up to 6 weeks
|
Necessity of performing an intervention (such as angioplasty or thrombolysis or thrombectomy or superficialization) on the Arteriovenous Fistula (AVF)
|
up to 6 weeks
|
|
Emergency hemodialysis on Central Venous Catheter (CVC)
Time Frame: up to 6 weeks
|
Necessity of patients on CVC to undergo emergency hemodialysis
|
up to 6 weeks
|
|
Emergency hemodialysis on Arteriovenous Graft (AVG)
Time Frame: up to 6 weeks
|
Necessity of patients on AVG to undergo emergency hemodialysis
|
up to 6 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Abbas DEEB, PhD, Hospices Civils de Lyon
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Vascular Diseases
- Cardiovascular Diseases
- Pathological Conditions, Anatomical
- Congenital Abnormalities
- Cardiovascular Abnormalities
- Vascular Malformations
- Fistula
- Arteriovenous Malformations
- Vascular Fistula
- Congenital, Hereditary, and Neonatal Diseases and Abnormalities
- Pathological Conditions, Signs and Symptoms
- Arteriovenous Fistula
Other Study ID Numbers
Other Study ID Numbers
- 69HCL19_0215
- ID-RCB (Other Identifier: 2025-A02239-40)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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