Immature hemodialysis arteriovenous fistulas: What should we aim for?

ABSTRACT Arteriovenous fistulas (AVFs) are the first-choice vascular access for most HD patients. Up to 60% of AVFs do not mature adequately, mostly due to stenosis. Surgical and endovascular techniques can rescue up to 80% of these AVFs from primary failure, allowing them to be safely and effectively used in HD, preserving venous capital, and avoiding placement of CVCs and associated complications. This article reviews and summarizes the existing literature, offering a practical approach on early identification, treatment, and monitoring of immature AVFs.

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Main Authors: Silva,Rui F., Diniz,Hugo, Relvas,Miguel, Silvano,José, Malheiro,Ana, Coentrão,Luís
Format: Digital revista
Language:English
Published: Sociedade Portuguesa de Nefrologia 2021
Online Access:http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692021000200106
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spelling oai:scielo:S0872-016920210002001062021-09-10Immature hemodialysis arteriovenous fistulas: What should we aim for?Silva,Rui F.Diniz,HugoRelvas,MiguelSilvano,JoséMalheiro,AnaCoentrão,Luís arteriovenous fistula hemodialysis angioplasty. ABSTRACT Arteriovenous fistulas (AVFs) are the first-choice vascular access for most HD patients. Up to 60% of AVFs do not mature adequately, mostly due to stenosis. Surgical and endovascular techniques can rescue up to 80% of these AVFs from primary failure, allowing them to be safely and effectively used in HD, preserving venous capital, and avoiding placement of CVCs and associated complications. This article reviews and summarizes the existing literature, offering a practical approach on early identification, treatment, and monitoring of immature AVFs.info:eu-repo/semantics/openAccessSociedade Portuguesa de NefrologiaPortuguese Journal of Nephrology & Hypertension v.35 n.2 20212021-06-01info:eu-repo/semantics/articletext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692021000200106en10.32932/pjnh.2021.07.130
institution SCIELO
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country Portugal
countrycode PT
component Revista
access En linea
databasecode rev-scielo-pt
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region Europa del Sur
libraryname SciELO
language English
format Digital
author Silva,Rui F.
Diniz,Hugo
Relvas,Miguel
Silvano,José
Malheiro,Ana
Coentrão,Luís
spellingShingle Silva,Rui F.
Diniz,Hugo
Relvas,Miguel
Silvano,José
Malheiro,Ana
Coentrão,Luís
Immature hemodialysis arteriovenous fistulas: What should we aim for?
author_facet Silva,Rui F.
Diniz,Hugo
Relvas,Miguel
Silvano,José
Malheiro,Ana
Coentrão,Luís
author_sort Silva,Rui F.
title Immature hemodialysis arteriovenous fistulas: What should we aim for?
title_short Immature hemodialysis arteriovenous fistulas: What should we aim for?
title_full Immature hemodialysis arteriovenous fistulas: What should we aim for?
title_fullStr Immature hemodialysis arteriovenous fistulas: What should we aim for?
title_full_unstemmed Immature hemodialysis arteriovenous fistulas: What should we aim for?
title_sort immature hemodialysis arteriovenous fistulas: what should we aim for?
description ABSTRACT Arteriovenous fistulas (AVFs) are the first-choice vascular access for most HD patients. Up to 60% of AVFs do not mature adequately, mostly due to stenosis. Surgical and endovascular techniques can rescue up to 80% of these AVFs from primary failure, allowing them to be safely and effectively used in HD, preserving venous capital, and avoiding placement of CVCs and associated complications. This article reviews and summarizes the existing literature, offering a practical approach on early identification, treatment, and monitoring of immature AVFs.
publisher Sociedade Portuguesa de Nefrologia
publishDate 2021
url http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692021000200106
work_keys_str_mv AT silvaruif immaturehemodialysisarteriovenousfistulaswhatshouldweaimfor
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AT relvasmiguel immaturehemodialysisarteriovenousfistulaswhatshouldweaimfor
AT silvanojose immaturehemodialysisarteriovenousfistulaswhatshouldweaimfor
AT malheiroana immaturehemodialysisarteriovenousfistulaswhatshouldweaimfor
AT coentraoluis immaturehemodialysisarteriovenousfistulaswhatshouldweaimfor
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