Techniques to enhance arteriovenous fistula maturation

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Maturation of an arteriovenous fistula remains an elusive step in obtaining a good functional hemodialysis access outcome. Considerable variability in the performance of access procedures exists between surgical practices that are not necessarily well justified. Herein, a brief overview of techniques is presented to help in maximize the potential for maturing an arteriovenous fistula. These include arm vein preservation, arm vein duplex mapping, branch ligation, staged transposition/superficialization, and comprehensive follow-up and intervention program. Although definitive data may be lacking to show effectiveness in all areas reviewed, recommendations are made to help surgeons in working toward higher maturation rates. Further opportunities avail to developing clinical practice guidelines so as to give all end stage renal disease patients the best clinical experience.

Original languageEnglish (US)
Pages (from-to)41-45
Number of pages5
JournalPerspectives in Vascular Surgery and Endovascular Therapy
Volume21
Issue number1
DOIs
StatePublished - 2009
Externally publishedYes

Fingerprint

Arteriovenous Fistula
Veins
Practice Guidelines
Chronic Kidney Failure
Ligation
Renal Dialysis
Surgeons

Keywords

  • Arteriovenous
  • Dialysis
  • Fistula
  • Maturation
  • Technique

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Techniques to enhance arteriovenous fistula maturation. / Mclafferty, Robert.

In: Perspectives in Vascular Surgery and Endovascular Therapy, Vol. 21, No. 1, 2009, p. 41-45.

Research output: Contribution to journalArticle

@article{8ac2a3a1c3be4dbc951d8e0af6714cef,
title = "Techniques to enhance arteriovenous fistula maturation",
abstract = "Maturation of an arteriovenous fistula remains an elusive step in obtaining a good functional hemodialysis access outcome. Considerable variability in the performance of access procedures exists between surgical practices that are not necessarily well justified. Herein, a brief overview of techniques is presented to help in maximize the potential for maturing an arteriovenous fistula. These include arm vein preservation, arm vein duplex mapping, branch ligation, staged transposition/superficialization, and comprehensive follow-up and intervention program. Although definitive data may be lacking to show effectiveness in all areas reviewed, recommendations are made to help surgeons in working toward higher maturation rates. Further opportunities avail to developing clinical practice guidelines so as to give all end stage renal disease patients the best clinical experience.",
keywords = "Arteriovenous, Dialysis, Fistula, Maturation, Technique",
author = "Robert Mclafferty",
year = "2009",
doi = "10.1177/1531003509333229",
language = "English (US)",
volume = "21",
pages = "41--45",
journal = "Perspectives in Vascular Surgery and Endovascular Therapy",
issn = "1531-0035",
publisher = "SAGE Publications Inc.",
number = "1",

}

TY - JOUR

T1 - Techniques to enhance arteriovenous fistula maturation

AU - Mclafferty, Robert

PY - 2009

Y1 - 2009

N2 - Maturation of an arteriovenous fistula remains an elusive step in obtaining a good functional hemodialysis access outcome. Considerable variability in the performance of access procedures exists between surgical practices that are not necessarily well justified. Herein, a brief overview of techniques is presented to help in maximize the potential for maturing an arteriovenous fistula. These include arm vein preservation, arm vein duplex mapping, branch ligation, staged transposition/superficialization, and comprehensive follow-up and intervention program. Although definitive data may be lacking to show effectiveness in all areas reviewed, recommendations are made to help surgeons in working toward higher maturation rates. Further opportunities avail to developing clinical practice guidelines so as to give all end stage renal disease patients the best clinical experience.

AB - Maturation of an arteriovenous fistula remains an elusive step in obtaining a good functional hemodialysis access outcome. Considerable variability in the performance of access procedures exists between surgical practices that are not necessarily well justified. Herein, a brief overview of techniques is presented to help in maximize the potential for maturing an arteriovenous fistula. These include arm vein preservation, arm vein duplex mapping, branch ligation, staged transposition/superficialization, and comprehensive follow-up and intervention program. Although definitive data may be lacking to show effectiveness in all areas reviewed, recommendations are made to help surgeons in working toward higher maturation rates. Further opportunities avail to developing clinical practice guidelines so as to give all end stage renal disease patients the best clinical experience.

KW - Arteriovenous

KW - Dialysis

KW - Fistula

KW - Maturation

KW - Technique

UR - http://www.scopus.com/inward/record.url?scp=65449132719&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=65449132719&partnerID=8YFLogxK

U2 - 10.1177/1531003509333229

DO - 10.1177/1531003509333229

M3 - Article

C2 - 19380392

AN - SCOPUS:65449132719

VL - 21

SP - 41

EP - 45

JO - Perspectives in Vascular Surgery and Endovascular Therapy

JF - Perspectives in Vascular Surgery and Endovascular Therapy

SN - 1531-0035

IS - 1

ER -