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AV Shunt Complications

  • Josh RadtkaEmail author
Chapter

Abstract

An arterial venous (AV) shunt is a lifeline for patients on hemodialysis. Creation of the AV shunt is one of the most common procedures performed by vascular surgeons. The dialysis access can have complications which decrease the effectiveness of dialysis and can limit the life of the AV shunt. Maintenance of the dialysis access requires both open surgical and endovascular techniques. The most emergent of these complications is an occlusion of the dialysis access. This requires prompt re-establishment of blood flow and correction of the offending lesion. Understanding of the techniques and the rationale to de-clot the occluded AV shunt provides the basis for dealing with other complications that can arise.

Keywords

Dialysis graft Arterial venous fistula Dialysis access complications Thrombosis of dialysis access De-clot 

References

  1. 1.
    Macasta, Sidawy. Hemodialysis access: general considerations. In: Cronenwett J, editor. Rutherford’s vascular surgery. Philadelphia: Elsevier; 2010. p. 1105–6.Google Scholar
  2. 2.
    Meier G. Hemodialysis access: failing and thrombosed. In: Cronenwett J, editor. Rutherford’s vascular surgery. Philadelphia: Elsevier; 2010. p. 1132–6.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Division of Vascular SurgeryPenn State Milton S. Hershey Medical CenterHersheyUSA

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