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Nephrol Dial Transplant (2000) 15: 1922-1923
© 2000 European Renal Association-European Dialysis and Transplant Association

Personal Opinion

Interventional strategies for haemodialysis fistulae and grafts: interventional radiology or surgery?

Editor's note Please see also Original Article by Turmel-Rodrigues et al., pp. 2029–2036.

Klaus Konner

Dialysis Unit, Krankenhaus Köln-Merheim, Cologne, Germany

Past

In 1966, Brescia, Cimino and colleagues described the surgical creation of an arteriovenous fistula. Access surgery developed remarkably over the next decade introducing various types and sites of anastomoses and learning how to manage several complications. Graft materials were introduced during the 1970s including ePTFE (expanded polytetrafluoroethylene). During the following 25 years, access surgery failed to achieve really new technical developments. An increasing use of mainly ePTFE grafts (arteriovenous graft(s)) was observed with a well-known high complication rate although the Brescia–Cimino fistula is considered ‘the best available form of vascular access’. Modifications and minor innovative procedures only came up in the field . . . [Full Text of this Article]

Present situation

Surgery
Arteriovenous fistulae.
Arteriovenous grafts.
Interventional radiology
Arteriovenous fistulae.
Arteriovenous grafts.
Comment

Future

Notes

References


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Home page
 J. Am. Soc. Nephrol.Home page
K. Konner, B. Nonnast-Daniel, and E. Ritz
The Arteriovenous Fistula
J. Am. Soc. Nephrol., June 1, 2003; 14(6): 1669 - 1680.
[Full Text] [PDF]