Complications of arteriovenous fistulae: beyond venous stenosis

Advances in Chronic Kidney Disease
Lalathaksha Kumbar

Abstract

Vascular access is the lifeline of hemodialysis patients. Currently, arteriovenous fistulae and grafts are considered permanent options for vascular access, and they share common access problems. The successful creation of a permanent vascular access depends on patient characteristics, vessel parameters, and possibly genetic factors. Utilization of a dialysis access at least 3 times a week leads to significant wear and tear of the access. The buttonhole technique is associated with a higher incidence of infection, and evidence regarding various perceived advantages remain contradictory. Infiltration and aneurysm formation of an access are common, and the literature on its impact on vascular access outcomes is limited. A patient who undergoes hemodialysis often requires multiple accesses during his or her lifetime, and the maintenance of a persistent vascular access may require creative solutions. Intensified research is crucial to comprehending the pathophysiology and treatment options for some of the common problems of vascular accesses.

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Citations

Jul 19, 2013·Seminars in Dialysis·Alexa GrudzinskiGihad Nesrallah
Feb 7, 2014·Therapeutic Apheresis and Dialysis : Official Peer-reviewed Journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy·Chi-Lin LinYen-Ling Chiu
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Aug 20, 2020·The Journal of Vascular Access·Shawn M Gage, Heidi Reichert
Jan 14, 2020·The Journal of Vascular Access·Filippo PiacentinoEugenio Annibale Genovese
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Mar 10, 2020·Complementary Therapies in Medicine·Azar Jafari-KoulaeeAmir Hossein Goudarzian

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