Patient selection, education, and cannulation of percutaneous arteriovenous fistulae: An ASDIN White Paper.

Patient selection, education, and cannulation of percutaneous arteriovenous fistulae: An ASDIN White Paper. J Vasc Access. 2019 Nov 29;:1129729819889793 Authors: Wasse H, Alvarez AC, Brouwer-Maier D, Hull JE, Balamuthusamy S, Litchfield TF, Cooper RI, Rajan DK, Niyyar VD, Agarwal AK, Abreo K, Lok CE, Jennings WC Abstract End-stage kidney disease patients who are candidates for surgical arteriovenous fistula creation commonly experience obstacles to a functional surgical arteriovenous fistula, including protracted wait time for creation, poor maturation, and surgical arteriovenous fistula dysfunction that can result in significant patient morbidity. The recent approval of two endovascular devices designed to create a percutaneous arteriovenous fistula enables arteriovenous fistula creation to be placed in the hands of interventionalists, thereby increasing the number of arteriovenous fistula providers, reducing wait times, and allowing the patient to avoid surgery. Moreover, current studies demonstrate that patients with percutaneous arteriovenous fistula experience improved time to arteriovenous fistula maturation. Yet, in order to realize the potential advantages of percutaneous arteriovenous fistula creation within our hemodialysis patient population, it is critical to select appropriate patients, ensure adequate patient and dialysis unit education, and provide sufficient instruction in percutaneous arteriovenous fistula cannulatio...
Source: The Journal of Vascular Access - Category: Surgery Tags: J Vasc Access Source Type: research