Vascular Access for Hemodialysis

  • E. Sebastian Debus
  • Reinhart T. Grundmann


The arteriovenous fistula should be placed as distally as possible in the non-dominant arm. Preferred type of vascular access for hemodialysis should be in descending order of preference a wrist (radiocephalic) primary fistula, an elbow (brachiocephalic) primary fistula, and a transposed brachial basilic vein fistula. For patients who have exhausted all forearm veins on both sides, a forearm loop graft, preferable to a straight configuration, and then an upper-arm graft may be considered.


Patency Rate Vascular Access Stent Graft Primary Patency Primary Patency Rate 
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 International Publishing AG 2017

Authors and Affiliations

  • E. Sebastian Debus
    • 1
  • Reinhart T. Grundmann
    • 2
  1. 1.Department of Vascular MedicineUniversity Heart and Vascular Center at University Clinics Hamburg–EppendorfHamburgGermany
  2. 2.Former Medical DirectorCommunity Hospital Altoetting-BurghausenBurghausenGermany

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