Back to Search
Start Over
Techniques to Enhance Arteriovenous Fistula Maturation
- Source :
- Perspectives in Vascular Surgery and Endovascular Therapy. 21:41-45
- Publication Year :
- 2009
- Publisher :
- SAGE Publications, 2009.
-
Abstract
- Maturation of an arteriovenous fistula remains an elusive step in obtaining a good functional hemodialysis access outcome. Considerable variability in the performance of access procedures exists between surgical practices that are not necessarily well justified. Herein, a brief overview of techniques is presented to help in maximize the potential for maturing an arteriovenous fistula. These include arm vein preservation, arm vein duplex mapping, branch ligation, staged transposition/ superficialization, and comprehensive follow-up and intervention program. Although definitive data may be lacking to show effectiveness in all areas reviewed, recommendations are made to help surgeons in working toward higher maturation rates. Further opportunities avail to developing clinical practice guidelines so as to give all end stage renal disease patients the best clinical experience.
- Subjects :
- medicine.medical_specialty
Fistula
Treatment outcome
Arteriovenous fistula
Veins
End stage renal disease
Upper Extremity
Arteriovenous Shunt, Surgical
Renal Dialysis
medicine
Humans
Intensive care medicine
Ligation
Hemodialysis access
Ultrasonography, Doppler, Duplex
Intervention program
business.industry
Patient Selection
medicine.disease
Clinical Practice
Treatment Outcome
Education, Medical, Graduate
Practice Guidelines as Topic
Kidney Failure, Chronic
Surgery
Clinical Competence
Clinical competence
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 15310035
- Volume :
- 21
- Database :
- OpenAIRE
- Journal :
- Perspectives in Vascular Surgery and Endovascular Therapy
- Accession number :
- edsair.doi.dedup.....bf80a18ca8e60eb9e862fcd5b6f5e88a