Nonmaturing Fistulae: Epidemiology, Possible Interventions, and Outcomes

Rahul A. Sheth, Robert Freed, Sidhartha Tavri, Tam T.T. Huynh, Zubin Irani

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Autogenous arteriovenous fistulae are the best method for prolonged, successful dialysis access. However, a substantial limitation of dialysis fistulae is their high primary failure rate, estimated to be as high as 70% for radiocephalic fistulae. Fistula maturation is influenced by demographic risk factors as well as anatomical barriers, the latter of which can be readily identified by noninvasive ultrasound imaging and physical examination. These barriers can be categorized as inflow problems (native arterial disease, arteriovenous anastomotic stenosis, and juxta-anastomotic stenosis) or outflow problems (proximal venous stenosis or collateral veins). Venous stenoses represent the most commonly observed barrier to fistula maturation. By treating these barriers with a systematic approach, interventionalists can significantly improve the likelihood of a fistula's usability for dialysis.

Original languageEnglish (US)
Pages (from-to)31-37
Number of pages7
JournalTechniques in vascular and interventional radiology
Volume20
Issue number1
DOIs
StatePublished - Mar 1 2017

Keywords

  • arteriovenous fistula
  • dialysis
  • dialysis interventions

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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