Fistula First National Vascular Access Improvement Initiative
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A video training program for surgeons and interventionalists

Developed by William Jennings, MD and Lawrence Spergel, MD and hosted by the University of Oklahoma Health Science Center.


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The following are some specific things interventionalists (interventional radiologists and interventional nephrologists) can do to improve AV fistula care. These are actions that you can take immediately; they will require cooperation between and, perhaps, changes in practice of, all providers in the system.

  1. Know the rates of AV fistula prevalence and incidence for your patients.
  2. Review the recommended strategies from the Fistula First Change Package and choose those that make the most sense for your practice. For example, consider the following changes: