Failure of autogenous vein maturation Thrombosis Inadequate arterial inflow Impaired venous outflow Infection Hematoma, seroma, lymphocele Pseudoaneurysms Arterial steal (hand ischemia) Venous hypertension (limb swelling) High-output cardiac failure Duplex Ultrasound…

Fig. 19.1 Needle gauge size for a hemodialysis treatment range from 17-gauge needles for slower blood flow rates (250 mL/min) and initiating dialysis with a new arteriovenous fistula, up to…

(1) Department of Surgery, Division of Vascular Surgery, Duke University Medical Center, Durham, NC 27710, USA (2) Humacyte Incorporated, Research Triangle Park, NC 27709, USA (3) Department of Surgery, Duke University Medical…

History assessment Relevance Dominant arm Use of nondominant arm is preferred to minimize negative impact on quality of life History of previous central venous catheter Associated with central venous stenosis…

Fig. 32.1 Forearm Scribner shunt, VA Hospital, Bronx, NY 1964 (Courtesy of Dr. Lawson) Fig. 32.2 Early Graftcath device. Note: Venous outflow component without nitinol reinforcement (generation 2) (Used with…

Fig. 35.1 Intimal hyperplasia at the distal anastomosis of a prosthetic graft (left) to a vein (right) Causes of Access Failure Thrombosis of arteriovenous access is related to the same…

Fig. 29.1 (a) Doppler US shows the presence of a stenosis of the brachial artery in a patient with a poorly functioning fistula. (b) Gray-scale US of the anastomosis shows…

Fig. 16.1 Incision sites overlying forearm cephalic vein for transposition Fig. 16.2 Dilation of dissected forearm cephalic vein with heparinized saline The portion of the radial artery that has been…

Fig. 40.1 Laparoscopic revision of a “trapped” catheter Once the patient has been determined to be a good candidate for peritoneal dialysis through the evaluation of their ability to perform…