Small Arteriovenous Anastomosis In Fistula Creation: Establishing A Functional Vascular Access While Minimizing Steal Syndrome

The size selection of the arteriovenous (AV) anastomosis in dialysis access creation requires a careful balance: the diameter must be large enough to accommodate sufficient flow for hemodialysis, but small enough to minimize the complication of steal syndrome. Steal syndrome affects up to 10% of patients after creation of dialysis access with sometimes devastating consequences. Conventional teaching recommends an 7-10 mm anastomosis. We sought to assess the efficacy of using a smaller (5-6 mm) anastomosis in new arteriovenous fistula (AVF) creation.

Source: Annals of Vascular Surgery - November 3, 2023 Category: Surgery Authors: Michael A. Turner, Asma Mathlouthi, Rohini J. Patel, Mark Perreault, Mahmoud B. Malas, Omar Al-Nouri Tags: Clinical Research Source Type: research