AI Article Synopsis
- An increasing number of arteriovenous fistulas (AVFs) have been noted recently, but there is a concerning rate of early failure that isn't necessarily linked to their rising numbers.
- Surgical strategies and the specifics of creating arteriovenous (AV) anastomoses play a crucial role in addressing this issue, emphasizing that a well-functioning AVF is the primary goal rather than just the construction of the anastomosis.
- A discussion on the importance of high-quality initial vascular access is included, with a concluding note on the potential benefits of having a dedicated vascular access team for improved future management.
Article Abstract
A highly welcomed, increasing number of arteriovenous fistulas (AVFs) has been noted in recent years as has a high rate of early failure. The latter is not an inevitable consequence of the former. Potential contributors may be identified by an analysis of surgical strategies and details of the creation of arteriovenous (AV) anastomoses. The "simple" AVF is all but simple. Construction of the anastomosis is a tool, not the aim of access surgery. The aim is a rapidly maturing and well-functioning fistula, a high flow construct that can be cannulated easily and repeatedly for adequate hemodialysis (HD) therapy. Surgical details are illustrated to clarify verbal descriptions. The impact of a high quality of initial vascular access on the practice of nephrology is mentioned. Closing remarks try to define a vascular access team as the optimal option for future management of vascular access.
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| http://dx.doi.org/10.1046/j.1525-139x.2003.16064.x | DOI Listing |
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