AV Fistulae and Catheters for Hemodialysis: How Much Should Nephrologists be Involved in Vascular Access for Hemodialysis
نویسنده
چکیده
Native arteriovenous (AV) fistula which was introduced into clinical practice in 1966 by Brescia, Cimino, Appel and Hurowich [1] is still a vascular access of choice for chronic hemodialysis patients. The main advantages were longevity and fewer, especially infectious, complications. For the patients with exhausted vasculature, AV grafts made of expanded polytetrafluoroethylene (ePTFE), introduced in 1976, were the second best choice to native AV fistula. They had shorter life span, with outflow stenosis of the vein as the most common complication. Infection usually necessitated complete removal of the graft in spite of antibiotic therapy.
منابع مشابه
How to increase the use of native arteriovenous fistulae for haemodialysis.
The arteriovenous fistula (AV fistula) is the preferred vascular access for haemodialysis. Recent clinical practice guidelines recommend the creation of vascular access (native fistula or synthetic graft) before the start of chronic haemodialysis therapy to prevent the need for complication-prone dialysis catheters. Late referral to a nephrologist is an important factor contributing to the high...
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