Autogenous options in secondary and tertiary access for haemodialysis.
OBJECTIVE
The world's haemodialysis population is growing rapidly so that in 2006, some 1.5 million interventions will be needed for access placement, revision and maintainance. Secondary and tertiary arteriovenous fistulas are becoming an integral part of vascular access especially in the elderly, comorbid population.


METHODS
Venous conduits may have a more favourable outcome with fewer complications and revisions in comparison with accesses using prosthetic implants. Innovative surgical techniques, including vein transposition, translocation and elevation may add to this philosophy of creating exclusively autogenous vascular access.
Tordoir
J H M
JH
Department of Surgery, University Hospital Maastricht, Maastricht, The Netherlands. j.tordoir@surgery.azm.nl
Keuter
X
X
Planken
N
N
de Haan
M W
MW
van der Sande
F M
FM
D001166:Arteriovenous Shunt, Surgical / Q000379:methods; D001916:Brachial Artery; D002405:Catheterization, Central Venous / Q000379:methods; D005263:Femoral Artery; D006801:Humans; D035002:Lower Extremity / Q000098:blood supply*; D006435:Renal Dialysis; D012501:Saphenous Vein; D034941:Upper Extremity / Q000098:blood supply*; D014654:Vascular Patency; D014680:Veins / Q000601:surgery