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Review
. 2016 Mar;33(1):6-9.
doi: 10.1055/s-0036-1571805.

New Approaches to Arteriovenous Fistula Creation

Dheeraj K Rajan  1
Affiliations
Review

New Approaches to Arteriovenous Fistula Creation

Dheeraj K Rajan. Semin Intervent Radiol. 2016 Mar.

Abstract

An autogenous arteriovenous fistula is considered the ideal access for hemodialysis delivery. However, surgical creation of an arteriovenous fistula is associated with less than optimal technical success, and multiple interventions are often required to assist maturation or maintain early patency. Given these shortcomings, multiple new approaches are now under investigation that possibly improve on surgical techniques and/or outcomes. Minimally invasive methods of creation with novel devices are under investigation, with preliminary published results available.

Keywords: arteriovenous fistula; creation; dialysis; interventional radiology; surgery.

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Figures

Fig. 1
Fig. 1
Optiflow device (used with permission, Bioconnect Systems, Fort Washington, PA).
Fig. 2
Fig. 2
Bioengineered vein being surgically inserted (Courtesy of Dr. Lawson, Duke Medicine).
Fig. 3
Fig. 3
EverlinQ endoAVF System (TVA Medical Inc., Austin, TX) (This device has not been studied in the United States and has not been approved for commercial use by the United States Food and Drug Administration).
Fig. 4
Fig. 4
EndoAVF (TVA Medical Inc., Austin, TX) created between the ulnar vein and ulnar artery (arrow). Injection of contrast from the brachial artery demonstrates flow through the fistula filling the cephalic vein (C) and the basilic vein (B).
See this image and copyright information in PMC

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