Arteriovenous fistulae for hemodialysis.
Primary arteriovenous fistulae remain the gold standard for hemodialysis access. The radiocephalic or Brescia-Cimino fistula is the autologous fistula of choice, with a primary success rate of nearly 93% and a 1-year patency rate of up to 82%. Alternative arteriovenous fistulae include the snuff box fistula and a brachiobasilic fistula with a 1-year patency rate of up to 90%. Complications include thrombosis, infection, arterial steal syndrome, venous hypertension, aneurysms, and congestive heart failure. Despite these complications, arteriovenous fistulae provide good long-term hemodialysis access.
Burkhart
H M
HM
Department of Surgery, Indiana University Medical Center, Indianapolis 46202, USA.
Cikrit
D F
DF
D001166:Arteriovenous Shunt, Surgical / Q000379:methods*; D002408:Catheters, Indwelling; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D006435:Renal Dialysis / Q000295:instrumentation / Q000379:methods*; D012680:Sensitivity and Specificity; D014654:Vascular Patency