Approach to a Patient with Non-maturing AV Fistula

  • Ravish Shah
  • Anil K. Agarwal


Autogenous arteriovenous fistulas (AVFs) are considered the most reliable long-term vascular access in patients undergoing hemodialysis. There has been increase in the AVF creation in patients with end-stage renal disease (ESRD) after implementation of Fistula First Breakthrough Initiative (FFBI); however, a considerable number of fistulas fail to mature (FTM) sufficiently to support dialysis therapy. Patients with FTM AVF should be identified early to provide timely interventions aiding to fistula maturation along with a goal of avoiding a bridging tunneled dialysis catheter. The strategies may include endovascular, surgical, or pharmacologic intervention. This chapter will focus on the definition, predictors, common causes, and appropriate interventions for early FTM.


Venous Stenosis Accessory Vein Outflow Vein Central Venous Stenosis Tunnel Dialysis Catheter 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Division of NephrologyThe Ohio State UniversityColumbusUSA

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