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Interventional Nephrology pp 83–91Cite as

Approach to Arteriovenous Access

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Abstract

A reliable vascular access is crucial in providing life-sustaining dialysis therapies in patients with end-stage renal disease (ESRD). An access that is easy to create, readily available for usage, and relatively maintenance-free with a low infection risk is considered an “ideal” vascular access. Although none of the currently available vascular accesses possess all the characteristics, arteriovenous fistula (AVF) comes the closest and is often referred to as “lifeline” for dialysis patients. This chapter will focus on a brief discussion of the types of available vascular accesses for dialysis, pre-dialysis access evaluation, physical examination of arteriovenous access (both arteriovenous fistulae, AVF, and arteriovenous grafts, AVG), detection of recirculation and stenosis, and strategies to achieve appropriate AV access including secondary AVF (SAVF) placement.

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Author information

Authors and Affiliations

  1. Division of Nephrology, The Ohio State University, 395 W 12th Avenue, Ground Floor, Columbus, OH, 43210, USA

    Ravish Shah MD & Anil K. Agarwal MD, FACP, FASN, FNKF

Authors
  1. Ravish Shah MD
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  2. Anil K. Agarwal MD, FACP, FASN, FNKF
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Corresponding author

Correspondence to Anil K. Agarwal MD, FACP, FASN, FNKF .

Editor information

Editors and Affiliations

  1. Department of Medicine (CHS), Division of Nephrology, Madison, Wisconsin, USA

    Alexander S. Yevzlin

  2. Medicine, Nephrology and Hypertension, Albany Medical College, Albany, New York, USA

    Arif Asif

  3. Interventional Nephrology Nephrology and Hypertension, University of Miami Miller School of Med, Miami, Florida, USA

    Loay Salman

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© 2014 Springer Science+Business Media New York

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Shah, R., Agarwal, A.K. (2014). Approach to Arteriovenous Access. In: Yevzlin, A., Asif, A., Salman, L. (eds) Interventional Nephrology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8803-3_12

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  • DOI: https://doi.org/10.1007/978-1-4614-8803-3_12

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-8802-6

  • Online ISBN: 978-1-4614-8803-3

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