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Review of maintenance and surveillance of dialysis access.
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- Additional Information
- Source:
Publisher: W.B. Saunders Country of Publication: United States NLM ID: 8809602 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1558-4518 (Electronic) Linking ISSN: 08957967 NLM ISO Abbreviation: Semin Vasc Surg Subsets: MEDLINE
- Publication Information:
Publication: Philadelphia Pa : W.B. Saunders
Original Publication: [Philadelphia, PA] : W.B. Saunders Co., [c1988-
- Subject Terms:
- Abstract:
Vascular access is an essential component of the Patient Life-Plan, Access Needs for patients with end-stage kidney disease requiring kidney replacement therapy with hemodialysis. Central venous catheter use is associated with high morbidity and mortality. As such, arteriovenous access (AVA) is the preferred modality for hemodialysis. Although AVA is preferred, maturation and functional patency after creation can be a challenge to achieve. A significant proportion of AVAs fail to mature, require reinterventions to achieve maturation, or cannot be successfully cannulated and used reliably for hemodialysis, despite physiologic maturation. Thus, most patients on hemodialysis require multiple AVA procedures throughout their lifetime. A thoughtful and deliberate strategy to create, maintain, survey, and troubleshoot AVA is required. In this review, autogenous AVA maturation, maintenance, and surveillance strategies to prolong the life of AVA for patients requiring hemodialysis are discussed.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this article.
(Published by Elsevier Inc.)
- Contributed Indexing:
Keywords: Arteriovenous fistula; Arteriovenous graft; Dialysis; Dialysis access; Hemodialysis; Maintenance
- Publication Date:
Date Created: 20241215 Date Completed: 20241215 Latest Revision: 20241217
- Publication Date:
20241218
- Accession Number:
10.1053/j.semvascsurg.2024.10.008
- Accession Number:
39675846
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