Arterial Stenosis Affecting Arteriovenous Fistulae and Grafts in Hemodialysis Patients: Approach to Diagnosis and Management

  • Diego A. Covarrubias
  • Chieh Suai Tan
  • Steven Wu
Chapter

Abstract

Arterial stenoses are an underappreciated significant contributor to arteriovenous access dysfunction. Patients with end-stage renal disease have a high incidence of peripheral artery disease, and the arteries utilized for AV access creation are subject to similar pathologic processes as those of the lower extremities in this population. Adequate arterial inflow is an essential requirement of a successfully functioning arteriovenous access for hemodialysis. This chapter will provide an overview of the approach to the patient with suspected arterial stenosis leading to arteriovenous access dysfunction.

Keywords

Catheter Ischemia Aspirin Heparin Stratification 

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Diego A. Covarrubias
    • 1
    • 2
  • Chieh Suai Tan
    • 1
    • 2
  • Steven Wu
    • 1
    • 3
    • 2
  1. 1.Vascular Interventional RadiologyMassachusetts General HospitalBostonUSA
  2. 2.Department of RadiologyMassachusetts General HospitalBostonUSA
  3. 3.Department of MedicineMassachusetts General Hospital, Harvard Medical SchoolBostonUSA

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