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. 2016 Sep 27:3:2054358116669125.
doi: 10.1177/2054358116669125. eCollection 2016.

Arteriovenous Vascular Access Selection and Evaluation

Jennifer M MacRae  1 , Matthew Oliver  2 , Edward Clark  3 , Christine Dipchand  4 , Swapnil Hiremath  3 , Joanne Kappel  5 , Mercedeh Kiaii  6 , Charmaine Lok  7 , Rick Luscombe  8 , Lisa M Miller  9 , Louise Moist  10 ; Canadian Society of Nephrology Vascular Access Work Group
Affiliations

Arteriovenous Vascular Access Selection and Evaluation

Jennifer M MacRae et al. Can J Kidney Health Dis. .

Abstract
in English, French

When making decisions regarding vascular access creation, the clinician and vascular access team must evaluate each patient individually with consideration of life expectancy, timelines for dialysis start, risks and benefits of access creation, referral wait times, as well as the risk for access complications. The role of the multidisciplinary team in facilitating access choice is reviewed, as well as the clinical evaluation of the patient.

Au moment de prendre la décision de créer un accès vasculaire, le médecin traitant et l’équipe qui le soutient se doivent d’évaluer chaque patient de façon individuelle et tenir compte de plusieurs facteurs. Ces derniers incluent l’espérance de vie du patient, l’échéancier à respecter pour le démarrage de la dialyse, les risques et les avantages liés à la création d’un accès vasculaire, les temps d’attente à prévoir pour la consultation, de même que les risques de complications encourus à la suite de la procédure. Ce chapitre évalue le rôle de facilitateur que joue l’équipe multidisciplinaire dans la prise de décision de créer un accès vasculaire, de même que l’examen clinique du patient.

Keywords: arteriovenous access evaluation; cannulation; cardiac remodeling; fistula; fistula maturation; graft; vascular access; vessel mapping.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Fistula creation. Source. Modified from Spergel et al. Note. Typical sites for fistula creation in the arm are highlighted.
Figure 2.
Figure 2.
Atypical fistula creation. Source. Modified from Spergel et al. Note. Atypical sites for fistula creation are highlighted.
Figure 3.
Figure 3.
Hemodynamics of fistula creation.
See this image and copyright information in PMC

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