Change Concept #5 Outcomes of upper arm arteriovenous fistulas for maintenance hemodialysis access, by Fitzgerald JT, Schanzer A, Chin AI, McVicar JP, Perez RV, Troppmann C. Arch Surg. 2004 Feb;139 (2):201-8. Results of this study suggest that an upper arm AVF is a reasonable alternative for maintenance hemodialysis access when a radiocephalic AVF is not possible. The Initial Creation of Native Arteriovenous Fistula: Surgical aspects and Their Impact on the Practice of Nephrology, by Konner K Seminars in Dialysis 2003 July; 16 (4): pp 291-298. The aim of access surgery is a rapidly maturing and well-functioning fistula that can be cannulated easily and repeatedly for adequate hemodialysis therapy. Includes surgical details and a discussion of the importance of the vascular access management team. Vascular access survival and incidence of revisions: a comparison of prosthetic grafts, simple autogenous fistulas, and venous transposition fistulas from the United States Renal Data System Dialysis Morbidity and Mortality Study. Gibson KD, Gillen DL, Caps MT, Kohler TR, Sherrard DJ, Stehman-Breen CO. Journal of Vascular Surgery, 2001 Oct;34(4):694-700. The preferential placement of autogenous fistulas may increase primary patency and decrease the incidence of revisions. Vein transpositions had similar secondary patency compared with simple fistulas, but required more revisions. The greatest benefit of a vein transposition fistula was seen in women and in patients with a history of access failure. The value and limitations of the arm cephalic and basilic vein for arteriovenous access, by Ascher E, Hingoran A, Gunduz Y, Yorkovich Y, Ward M, Miranda J, Tsemekhin B, Kleiner M, Greenberg S. From Ann Vasc Surg, 2001 Jan;15(1):89-97. The use of brachiocephalic AVF (BCAVF) and brachiobasilic AVF (BBAVF) appears to be a viable alternative to prosthetic arteriovenous grafts. On the basis of our experience, an algorithm for placement of AVF is suggested. Aggressive Treatment of Early Fistula Failure by G Beathard. From Kidney International 2003 (Oct), Vol 64, (4) pp 1487-1494. The Brachiocephalic Elbow Fistula: A Useful Alternative Angioaccess for Permanent Hemodialysis, by MH Bender, CM Bruyninckx and PG Gerlag. From J Vasc Surg 1995 Aug; 22(2): pp 195-96. The Gracz Arteriovenous Fistula Evaluated. Results of the Brachiocephalic Elbow Fistula in Hemodialysis Angio-Access, by MH Bender, CM Bruyninckx and PG Gerlag. From Eur J Vasc Endovasc Surg 1995 Oct; 10(3): pp 294-7. Vascular access for hemodialysis in children, by Brittinger WD, Walker G, Twittenhoff WD, Konrad N. From Pediatr Nephrol, 1997 Feb;11(1):87-95. Proximal radial artery as inflow site for native arteriovenous fistula, by Bruns SD, Jennings WC. From J Am Coll Surg, 2003 Jul;197(1):58-63. The proximal radial artery (PRA) allows for adequate arterial inflow while avoiding the risk of steal syndrome found with brachial artery fistulas. More extensive procedures or use of prosthetic grafts can be avoided. Arteriovenous Fistula Using Transposed Basilic Vein, by PC Butterworth, TM Doughman, TJ Wheatley and ML Nicholson. From Br J Sur 1998 Dec; 85(12): pp 1721-2. Durability and cumulative functional patency of transposed and nontransposed arteriovenous fistulas, by Choi HM, Lal BK, Cerveira JJ, Padberg FT Jr, Silva MB Jr, Hobson RW 2nd, Pappas PJ. From J Vasc Surg, 2003 Dec;38(6):1206-12. Preoperative duplex scanning of upper arm and forearm veins facilitated successful creation of all types of autogenous fistulas at our institution. TAVF cumulative functional patency rates were superior compared with AVGs and AVFs. Furthermore, TAVFs and AVFs were more durable and required fewer revisions than did AVGs. When preoperative duplex criteria indicate that TAVFs can be performed, they should be the initial access of choice, because of their superior long-term patency and durability. The Upper Arm AV Hemoaccess: Long-term Follow-up, by FJ Dagher. From J Cardiovasc Surgery 1086 Jul-Aug; 27(4): pp 447-9. Operative management of distal ischemia complicating upper extremity dialysis Access, by Diehl L, Johansen K, Watson J. From Am J Surg, 2003 Jul;186(1):17-9. Distal revascularization-interval ligation is the optimal management for dialysis access-induced ischemia and should be attempted whenever possible. Hemodialysis vascular access survival: upper-arm native arteriovenous fistula, by Dixon BS, Novak L, Fangman J. From Am J Kidney Dis, 2002 Jan;39(1):92-101. The upper-arm native arteriovenous fistula UAF is a good alternative to an AVG for achieving Dialysis Outcomes Quality Initiative guidelines. Arteriovenous fistula construction in the thigh with transposed superficial femoral vein: our initial experience by Gradman WS, Cohen W, Haji-Aghaii M. From J Vasc Surg, 2001 May;33(5):968-75. Pathogenesis and management of upper-extremity ischemia following angioaccess surgery, by Haimov M, Schanzer H, Skladani M. From Blood Purif, 1996;14(5):350-4. The arterial ligation-bypass procedure is currently the treatment of choice for patients developing severe ischemia secondary to ‘steal’ following construction of an arteriovenous fistula for dialysis. Transposed saphenous vein arteriovenous fistula revisited: new technology for an old idea, by Illig KA, Orloff M, Lyden SP, Green RM. From Cardiovasc Surg, 2002 Jun;10(3):212-5. Distal revascularization-interval ligation: a durable and effective treatment for ischemic steal syndrome after hemodialysis access, by Knox RC, Berman SS, Hughes JD, Gentile AT, Mills JL. From J Vasc Surg, 2002 Aug;36(2):250-5; discussion 256. Distal revascularization-interval ligation (DRIL) is a durable and effective procedure that reliably accomplishes the twin goals in the treatment of angioaccess-induced ischemia: persistent relief of hand ischemia and continued access patency. Arteriovenous fistula for chronic hemodialysis in children, by Kreidy R, Ghabril R. From J Med Liban, 2000 Sep-Oct;48(5):288-93. Comparison of Transposed Brachiobasilic Fistulas to Upper Arm Grafts and Brachiocephalic Fistulas, by MJ Oliver, RL McCann, OS Indirdason, DW Butterly and SJ Schwab. From Kidney Int 2001; 60: pp 1532-1539. Vascular Access Outcomes Using the Transposed Basilic vein Arteriovenous Fistula, by Jonathan Segal, Liise Kayler, Peter Henke, Robert Merion, Sean Leavey, and Darrell Campbell. From American Journal of Kidney diseases, Vol 42, No 1 (July), 2003: pp 151-157. Reviews patient characteristics that affect long-term patency and characteristics that should be considered when exploring access options. Permanent hemodialysis vascular access survival in children and adolescents with end-stage renal disease, by Sheth RD, Brandt ML, Brewer ED, Nuchtern JG, Kale AS, Goldstein SL. From Kidney Int, 2002 Nov;62(5):1864-9. Vein Tranposition in the Forearm for Autogenous Hemodialysis Access, by MB Silva, RW Hobson, PJ Pappas, PB Haser, CT Araki, MC Goldberg, Z Jamil and FT Padberg. From J Vasc Surg 2002 Dec; 26(6): pp 981-8. Superior patency of perforating antecubital vein arteriovenous fistulae for hemodialysis, by Sparks SR, VanderLinden JL, Gnanadev DA, Smith JW, Bunt TJ. From Ann Vasc Surg, 1997 Mar;11(2):165-7. In conclusion, the perforating antecubital vein (PAV) fistula has an excellent patency rate and appears to be a viable option for AV access after a failed B-C fistula or when a B-C fistula is not technically feasible. Understanding strategies for the treatment of ischemic steal syndrome after hemodialysis access, by Wixon CL, Hughes JD, Mills JL. From J Am Coll Surg, 2000 Sep;191(3):301-10. It is paramount that surgeons who perform vascular access procedures have a firm understanding of the symptoms, diagnostic maneuvers, and treatment options for the ischemic steal syndrome after hemodialysis access procedures. A strategy for increasing use of autogenous hemodialysis access procedures: Impact of preoperative noninvasive evaluation Effect of preoperative sonographic mapping on vascular access outcomes in hemodialysis patients The clinical utility of Doppler ultrasound prior to arteriovenous fistula creation Transition to all-autogenous hemodialysis access: The role of preoperative vein mapping |