A Review of the Current Status of Percutaneous Endovascular Arteriovenous Fistula Creation for Haemodialysis Access

Cardiovascular and Interventional Radiology
Robert G Jones, Robert A Morgan

Abstract

Surgical fistulas were first described over 50 years ago and have revolutionized the outlook for millions of dialysis-dependent patients. Despite many developments, results remain sub-optimal with high rates of primary failure and re-intervention to maintain patency. Surgical fistulas are known to fail in part due to intimal hyperplasia leading to stenosis, and vessel manipulation during anastomosis creation can be contributory. New technology is emerging that allows the endovascular creation of fistulas with minimal vessel trauma and the initial results demonstrate encouraging outcomes with high technical success rates, low re-intervention, and failure rates and good usability for hemodialysis. Two such device systems are currently available, and here, we provide an overview of the current global status of endoAVF, patient selection criteria, trial results, technical aspects, re-interventions, and outlook for the future.

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Citations

Oct 1, 2019·The Journal of Vascular Access·Gerald A BeathardWilliam C Jennings
Dec 10, 2019·The Journal of Vascular Access·Robert G JonesNicholas G Inston
Apr 3, 2019·Clinical Journal of the American Society of Nephrology : CJASN·Haimanot Wasse
Dec 16, 2020·Anatomical Sciences Education·Efstratios Georgakarakos, Aliki Fiska
Aug 15, 2020·Journal of Vascular and Interventional Radiology : JVIR·Robert ShahverdyanWilliam C Jennings
Dec 15, 2020·Advances in Chronic Kidney Disease·Tiffany TruongEugene Lin
Mar 9, 2021·Journal of Nephrology·Carlo BasileUNKNOWN EUDIAL Working Group
Mar 13, 2021·Nefrología : publicación oficial de la Sociedad Española Nefrologia·Anna LimaAna Germano
Jul 26, 2021·Journal of Vascular Surgery·Alexa MordhorstJonathan Misskey

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