Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Jun 16;7(4):235-253.
doi: 10.1016/j.cdtm.2021.05.002. eCollection 2021 Dec.

Expert consensus on the establishment and maintenance of native arteriovenous fistula

Hongtao Zhang  1 , Haitao Lu  2 , Wenge Li  2 , Gengru Jiang  3 , Hongbin Zou  4 ; Expert Group of Nephrology Branch of China Academy of Chronic Disease Urology Nephrology and Blood Purification Commission of China Medical Education Association
Affiliations

Expert consensus on the establishment and maintenance of native arteriovenous fistula

Hongtao Zhang et al. Chronic Dis Transl Med. .

Abstract

Vascular access is the lifeline of hemodialysis patients. There are great differences in the establishment and use of vascular access in different countries and regions around the world. We believe that on the basis of good evaluation and planning, it is recommended that hemodialysis patients choose native arteriovenous fistula first. In view of the new progress of vascular access views domestic and international at home and abroad in recent years, we organized experts to recommend the establishment and maintenance of arteriovenous fistula (AVF) for the Chinese population, including preoperative evaluation and planning of the establishment of AVF, AVF surgery, perioperative drug intervention measures and postoperative maintenance, and put forward suggestions for future research directions. The recommendations in this consensus are general and clinicians need to make treatment decisions based on the actual situation.

Keywords: Arteriovenous fistula; Consensus; Hemodialysis; Vascular access.

PubMed Disclaimer

Conflict of interest statement

None.

References

    1. Kukita K., Ohira S., Amano I., et al. 2011 update Japanese Society for Dialysis Therapy Guidelines of Vascular Access Construction and Repair for Chronic Hemodialysis. Ther Apher Dial. 2015;19:1–39. doi: 10.1111/1744-9987.12296. - DOI - PubMed
    1. Schmidli J., Widmer M.K., Basile C., et al. Editor's choice - vascular access: 2018 clinical practice guidelines of the European Society for Vascular Surgery (ESVS) Eur J Vasc Endovasc Surg. 2018;55:757–818. doi: 10.1016/j.ejvs.2018.02.001. - DOI - PubMed
    1. Lok C.E., Huber T.S., Lee T., et al. National Kidney Foundation KDOQI clinical practice guideline for vascular access: 2019 update. Am J Kidney Dis. 2020;75:S1–S164. doi: 10.1053/j.ajkd.2019.12.001. - DOI - PubMed
    1. Asano M., Thumma J., Oguchi K., et al. J-DOPPS Research Group Vascular access care and treatment practices associated with outcomes of arteriovenous fistula: international comparisons from the Dialysis Outcomes and Practice Patterns Study. Nephron Clin Pract. 2013;124:23–30. doi: 10.1159/000353733. - DOI - PubMed
    1. Pisoni R.L., Zepel L., Fluck R., et al. International differences in the location and use of arteriovenous accesses created for hemodialysis: results from the dialysis outcomes and practice Patterns study (DOPPS) Am J Kidney Dis. 2018;71:469–478. doi: 10.1053/j.ajkd.2017.09.012. - DOI - PubMed