RT Book, Section
A1 Hölzenbein, Thomas J.
A1 Aspalter, Manuela
A1 Linni, Klaus
A2 Dieter, Robert S.
A2 Dieter, Raymond A.
A2 Dieter, Raymond A.
SR Print(0)
ID 1126492140
T1 Venous Considerations for Native Arteriovenous Shunt Surgery
T2 Venous and Lymphatic Diseases
YR 2011
FD 2011
PB McGraw-Hill Medical
PP New York, NY
SN 9780071601580
LK accesscardiology.mhmedical.com/content.aspx?aid=1126492140
RD 2024/04/19
AB Transformation  of  superficial  veins  to  thick-walled  vein  segments  carrying  high  blood  flow  supplied  by  arterial  blood  is  the  basic  idea  behind  creation  of  an  arteriovenous  fistula  (AVF)  for  hemodialysis.1  The  vein  should  be  easy  to  access  and  allow  dual  puncture  with  some  intervening  distance  to  avoid  recirculation  during  hemodialysis.  Shunt  volume  should  be  sufficient  to  allow  dialysis  flows  with  at  least  250  mL/min.  This  requires  shunt  flows  through  the  AVF  of  at  least  300  mL/min.  There  are  several  considerations  regarding  vein  selection  when  planning  the  surgery,  during  the  procedure,  and  after  surgery  for  long-term  maintenance  of  the  hemodialysis  access.