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- Title
Contemporary Strategies to Promote Dialysis Access Fistula Maturation.
- Authors
Walsh, Jillian P.; Hentschel, Dirk M.; Sharma, Gaurav; Lotto, Christine E.; Ozaki, Charles Keith
- Abstract
Background : The inability of a newly created arteriovenous fistula to support hemodialysis due to non-maturation results in increased complications secondary to catheter dependence. Methods : In view of the highly variable approaches by providers with heterogenous backgrounds (general surgery, vascular surgery, interventional radiology and interventional nephrology, urology, transplant surgery, etc.) we sought to describe a collection of algorithms that have functioned well in our hands to manage this challenging clinical problem and guide trainees and practicing clinicians alike. Results : Physical examination along with selective duplex ultrasound and fistulogram can identify most pathologies underlying non-maturation. Conclusion : Both endovascular and open techniques can be employed to optimize maturation rates in this complex population.
- Subjects
PHYSICAL diagnosis; ULTRASONIC imaging; ARTERIOVENOUS fistula; HEMODIALYSIS; ADVERSE health care events; ALGORITHMS
- Publication
Vascular & Endovascular Surgery, 2022, Vol 56, Issue 6, p590
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/15385744211037834