Effect of General Anesthesia Versus Regional Brachial Plexus Block on Patency of Vascular Access for Hemodialysis

Primary arteriovenous fistula (AVF) remains the best vascular access for hemodialysis since it has the best long-term primary patency rate, requires less interventions/maintenance, and has the lowest incidence of morbidity and mortality. For this reason, the National Kidney Foundation began the “Fistula First Breakthrough Initiative”, which seeks to increase the amount of successful AVFs placed. Multiple factors play a role in primary AVFs creation; Vein diameter/quality, artery diameter/quality, central venous disease, hypercoagulable states and fistula location.

Source: Annals of Vascular Surgery - October 31, 2019 Category: Surgery Authors: Bradford L.W. James, Matthew S. Jorgensen, Tariq Almerey, Zhuo Li, W. Andrew Oldenburg, Albert G. Hakaim, Houssam Farres Source Type: research