Staged Radial-Radial Fistula Creation for Hemodialysis Access: A Novel Alternative
The radiocephalic arteriovenous fistula (AVF) is the preferred standard for patients needing primary hemodialysis access creation. In patients who lack suitable superficial veins in the distal upper extremity, proximal native vessels or synthetic grafts are often used. However, proximal primary access creation results in loss of vascular territory for future interventions, and grafts and proximal vessels have been shown to be inferior starting points because of higher risk of infection, thrombosis, and steal syndrome.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Zachary Lawrence, Sitaram V. Chivukula, Erin Farlow, Richard Keen, Neha Sheng Tags: Abstract from the 2019 Midwestern Vascular Surgical Society Annual Meeting Source Type: research