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Hemodialysis Access pp 93–98Cite as

Strategies of Arteriovenous Dialysis Access

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Abstract

According to the report from the United States Renal Data System in 2014, there were more than 600,000 patients with end-stage renal disease who were on hemodialysis (HD), and 80 % of these patients initiate hemodialysis with a central venous catheter (CVC). Although AVFs should still be considered for each patient, “fistula first at all costs” is not the current practice. Patient’s access history, life expectancy, and risks of AVF failure should be taken into consideration. The modern approach favors individualized strategy with “patient first” and “catheter last” which means sometimes a functional AVG is a better alternative than a failed AVF. This chapter discusses different strategies associated with AV dialysis access.

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Author information

Authors and Affiliations

  1. The George Washington Medical Faculty Associates, 2150 Pennsylvania Ave NW, Washington, DC, 20037, USA

    Bao-Ngoc Nguyen MD & Anton Sidawy MD, MPH

Authors
  1. Bao-Ngoc Nguyen MD
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  2. Anton Sidawy MD, MPH
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Correspondence to Anton Sidawy MD, MPH .

Editor information

Editors and Affiliations

  1. Division of Vascular Surgery, Department of Surgery The University of Washington, Seattle, Washington, USA

    Sherene Shalhub

  2. Department of Surgery, Medical College of Wisconsin, Brookfield, Wisconsin, USA

    Anahita Dua

  3. Division of Vascular Surgery, Department of Surgery The University of Washington, Seattle, Washington, USA

    Susanna Shin

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Nguyen, BN., Sidawy, A. (2017). Strategies of Arteriovenous Dialysis Access. In: Shalhub, S., Dua, A., Shin, S. (eds) Hemodialysis Access. Springer, Cham. https://doi.org/10.1007/978-3-319-40061-7_11

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  • DOI: https://doi.org/10.1007/978-3-319-40061-7_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-40059-4

  • Online ISBN: 978-3-319-40061-7

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