This article summarizes the routine use of duplex ultrasound in the ev
aluation of hemodialysis fistulas. It offers a step-by-step review of
the equipment, examination technique, normal and abnormal findings in
patients who have undergone hemodialysis shunts. The problems and reco
gnition of problems by duplex ultrasound are extensively detailed. For
example, duplex problems of a variety of symptoms, including puncture
problems, venous congestion, peripheral ischemia, local swelling and
high flow fistula, are detailed.