Abstract
Hemodialysis is the main modality for renal replacement therapy in patients with end-stage renal disease. Successful hemodialysis is contingent upon the creation of proper vascular access. Chronic vascular access was first established in 1960 by Scribner and colleagues, who created a shunt between the radial artery and the cephalic vein using an external Silastic device (Quinton et al. 1960). However, this device was fraught with problems such as bleeding, clotting, and infection. In 1966, Breschia and colleagues described a surgical fistula between the radial artery and the cephalic vein just proximal to the wrist, thereby eliminating the external shunt and enabling a high-flow system for hemodialysis. To this day, it remains the procedure of choice for patients with end-stage renal disease in need of chronic hemodialysis.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Suggested Reading
Akoh JA, Sinha S, Dutta S, et al. A 5-year audit of hemodialysis access. Int J Clin Pract. 2005;59:847–51.
Brescia MJ, Cimino JE, Appel K, Hurwich BJ. Chronic hemodialysis using venipuncture and a surgically created arteriovenous fistula. N Engl J Med. 1966;275:1089–92.
Crabtree JH, Fishman A. A laparoscopic method for optimal peritoneal dialysis access. Am Surg. 2005;71:135–43.
Diaz-Buxo JA. Access and continuous flow peritoneal dialysis. Perit Dial Int. 2005;25 suppl 3:S102–4.
Gray RJ, Sands JJ, editors. Dialysis access: a multidisciplinary approach. Philadelphia: Lippincott Williams & Wilkins; 2002.
Kawecka A, Debska-Slizien A, Prajs J, et al. Remarks on surgical strategy in creating vascular access for hemodialysis: 18 years of one center’s experience. Ann Vasc Surg. 2005;19:590–8.
Keuter XH, van der Sande FM, Kessels AG, et al. Excellent performance of one-stage brachial-basilic arteriovenous fistula. Nephrol Dial Transplant. 2005;20:2168–71.
Lin PH, Bush RL, Nguyen L, et al. Anastomotic strategies to improve hemodialysis access patency – a review. Vasc Endovasc Surg. 2005;39:135–42.
National Kidney Foundation. Kidney Disease Outcomes Quality Initiative (NKF K/DOQI). Clinical practice guidelines for vascular access. Am J Kidney Dis. 2001;37(Suppl 1):s137–81.
Quinton W, Dillard D, Scribner BH. Cannulation of blood vessels for prolonged hemodialysis. Trans Am Soc Artif Intern Organs. 1960;6:104–13.
Ramage IJ, Bailie A, Tyerman KS, et al. Vascular access survival in children and young adults receiving long-term hemodialysis. Am J Kidney Dis. 2005;45:708–14.
Striker GE, Tenckhoff H. A transcutaneous prosthesis for prolonged access to the peritoneal cavity. Surgery. 1971;69:70–4.
Wilson SE, editor. Vascular access: principles and practice. St. Louis: Mosby; 1996.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
3.1 Electronic Supplementary Material
Below is the link to the electronic supplementary material.
Brachiocephalic AV fistula for dialysis (Humar) (WMV 158514 kb)
Rights and permissions
Copyright information
© 2015 Springer-Verlag London
About this chapter
Cite this chapter
Khwaja, K.O., Vin, Y. (2015). Dialysis Access Procedures. In: Humar, A., Sturdevant, M. (eds) Atlas of Organ Transplantation. Springer, London. https://doi.org/10.1007/978-1-4471-4775-6_3
Download citation
DOI: https://doi.org/10.1007/978-1-4471-4775-6_3
Published:
Publisher Name: Springer, London
Print ISBN: 978-1-4471-4774-9
Online ISBN: 978-1-4471-4775-6
eBook Packages: MedicineMedicine (R0)