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Brief overview of surgical aspect of autologous arterio-venous fistula for dialysis access.

Nitin K KashyapAhmad F DanishKishan MagatapalliKlein Dantis
Published in: Asian cardiovascular & thoracic annals (2021)
Patients with the end-stage renal disease require renal replacement therapy in renal transplant, peritoneal dialysis, and intermittent hemodialysis. Hemodialysis remains the primary modality for renal replacement therapy. Excellent vascular access is a mainstay for performing hemodialysis. Here we present a brief review of the various surgical aspects of AV fistula creation. Preoperative physical examination and judicious use of the imaging modalities to define the artery and venous mapping provide a good outcome of the fistula formation. Surgical creation of RC-AVF is preferred for the end-stage renal disease patient. The end-to-side anastomosis between the radial artery and cephalic vein has shown very good results.
Keyphrases
  • end stage renal disease
  • peritoneal dialysis
  • chronic kidney disease
  • acute kidney injury
  • high resolution
  • bone marrow
  • physical activity
  • high intensity
  • ultrasound guided
  • cell therapy