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Review
. 2015 Jun;8(3):282-9.
doi: 10.1093/ckj/sfv019. Epub 2015 Apr 2.

Current tools for prediction of arteriovenous fistula outcomes

Damian G McGrogan  1 , Alexander P Maxwell  2 , Aurang Z Khawaja  1 , Nicholas G Inston  1
Affiliations
Review

Current tools for prediction of arteriovenous fistula outcomes

Damian G McGrogan et al. Clin Kidney J. 2015 Jun.

Abstract

It remains challenging to accurately predict whether an individual arteriovenous fistula (AVF) will mature and be useable for haemodialysis vascular access. Current best practice involves the use of routine clinical assessment and ultrasonography complemented by selective venography and magnetic resonance imaging. The purpose of this literature review is to describe current practices in relation to pre-operative assessment prior to AVF formation and highlight potential areas for future research to improve the clinical prediction of AVF outcomes.

Keywords: arteriovenous fistula; clinical assessment; definitions; ultrasonography; venography.

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Figures

Fig. 1.
Fig. 1.
Summary of advantages and disadvantages associated with preoperative assessment tools. DSA, digital subtraction angiography; MRV, magnetic resonance venography; DUS, Doppler ultrasound scan; MRI, magnetic resonance imaging; NSF, nephrogenic systemic fibrosis; ESRD, end-stage renal disease; AGE, advanced glycation end-products.
Fig. 2.
Fig. 2.
Summary of factors involved in AVF maturation.
See this image and copyright information in PMC

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