Arteriovenous graft configuration in hemodialysis: does it matter?

The Journal of Vascular Access
Joseph C Wuamett, Marc H Glickman

Abstract

The current guidelines for arteriovenous graft (AVG) configuration in hemodialysis state the following sequence: forearm loop, upper arm straight or curved and upper arm looped. These recommendations are based upon literature from the 1980s. Modern patient demographics and patient treatment algorithms, i.e., the Fistula First initiative (FFI), have greatly changed the current practice environment. It is not clear if these changes alter the outcomes of AVGs based upon configuration. The most recent National Kidney Foundation Kidney Disease Outcomes Quality Initiative (NKF/K-DOQI) guidelines for vascular access were reviewed. Articles cited to support recommendations for AVG configuration were evaluated. The following search terms: arteriovenous graft configuration, access configuration, PTFE configuration in hemodialysis and straight, looped, curved graft configuration were used to search PubMed, Ovid, Medline and Google scholar. Articles that included data comparing AVG configuration were included. Citations within those articles were examined for publications overlooked in the initial search. Four articles and one abstract were reviewed and separated into pre- and post-FFI groups. Pre-FFI articles demonstrate superiority of fo...Continue Reading

References

Jul 1, 1992·Journal of the American Society of Nephrology : JASN·P Y Fan, S J Schwab
May 11, 2005·Kidney International·Charmaine E LokSarbjit V Jassal
May 22, 2009·The New England Journal of Medicine·Bradley S DixonUNKNOWN DAC Study Group
Aug 12, 2009·The Journal of Vascular Access·Jacob A Akoh
Nov 20, 2012·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Andrew D HowardKlemens B Meyer
Apr 12, 2013·Nephro-urology Monthly·Jalaladin KhoshnevisAmir Hosein Jalali
Jul 16, 2013·Vascular and Endovascular Surgery·Albeir Y MousaAli F AbuRahma

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Citations

May 10, 2019·Journal of Vascular Surgery·Filippo BenedettoUNKNOWN collaborators

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