Kashyap NK, Danish AF, Magatapalli K, Dantis K. Brief overview of surgical aspect of autologous arterio-venous fistula for dialysis access.
Asian Cardiovasc Thorac Ann 2021;
30:2184923211029496. [PMID:
34233499 DOI:
10.1177/02184923211029496]
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Abstract
Patients with the end-stage renal disease require renal replacement therapy in renal transplant, peritoneal dialysis, and intermittent hemodialysis. Hemodialysis remains the primary modality for renal replacement therapy. Excellent vascular access is a mainstay for performing hemodialysis. Here we present a brief review of the various surgical aspects of AV fistula creation. Preoperative physical examination and judicious use of the imaging modalities to define the artery and venous mapping provide a good outcome of the fistula formation. Surgical creation of RC-AVF is preferred for the end-stage renal disease patient. The end-to-side anastomosis between the radial artery and cephalic vein has shown very good results.
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