Timing of secondary arteriovenous fistula creation avoids tunneled catheter placement.
The concept of secondary arteriovenous fistula, though not novel, is seldom practiced for lack of initiative or hesitancy in deciding the appropriate timing to abandon the existing access. We report a case illustrating the benefits of implementing the strategy in an elderly diabetic dialysis patient, successfully avoiding a tunneled cuffed catheter placement.
Dialysis Access Group of Wake Forest University, Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157, USA. tvachhar@wfubmc.edu
Tushar J
TJ
Vachharajani
Naveen K
NK
Atray
Sarjit
S
Gill
Gazi
G
Zibari
Kenneth D
KD
Abreo
D000792:Angiography; D001166:Arteriovenous Shunt, Surgical / Q000379:methods*; D002408:Catheters, Indwelling; D000075202:Contraindications; D005500:Follow-Up Studies; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis / Q000379:methods*; D012086:Reoperation; D013927:Thrombosis / Q000601:surgery*; D013997:Time Factors