Successful angioaccess.
Surgery for hemodialysis access is the most commonly performed vascular surgical operation in the United States, predominantly because of a steady increase in the prevalence of end-stage renal disease. Multiple studies have confirmed the improved patency rate and lower infection rates for native arteriovenous fistulae compared with prosthetic arteriovenous grafts. In formulating a strategy for successful dialysis access a comprehensive approach should be undertaken. The preoperative planning, as with any surgical procedure, is the most important aspect, followed by the postoperative maintenance of the access.
Singh
Niten
N
Vascular and Endovascular Surgery Madigan Army Medical Center, 9040-A Fitzsimmons Avenue, Tacoma, WA 98431, USA. nhsingh@aol.com
Starnes
Benjamin W
BW
Andersen
Charles
C
D000714:Anastomosis, Surgical / Q000379:methods; D001166:Arteriovenous Shunt, Surgical / Q000379:methods*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects; D006801:Humans; D010347:Patient Care Planning; D011182:Postoperative Care; D016459:Prosthesis-Related Infections / Q000209:etiology; D006435:Renal Dialysis; D013530:Surgical Wound Infection / Q000517:prevention & control; D014182:Transplantation, Autologous; D014654:Vascular Patency