Abstract
Many patients with end stage renal disease are able to live a longer productive life due to renal replacement therapy in Australia. Haemodialysis access is the lifeline for a large number of these patients. Creating an autologous fistula and maintaining it is a challenging task that demands dedication and attention to detail, as well as a team with a well-coordinated strategy.
In this chapter the topic is explored from surgeon’s point of view and practical aspects of preoperative assessment and technical details of radial cephalic, brachial cephalic and brachial basilic fistula creation that have worked well for the author are described. The author’s views on post-operative surveillance and the preferred techniques for dealing with the common problems that are encountered with the fistulas during their life time are discussed.
It is concluded that with a good teamwork, meticulous technique and judicious intervention, the use of the patient’s vascular territory can be maximised for prolonged dialysis access.
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Ramanathan, A.K. (2017). Access for Hemodialysis in Australia. In: Dardik, A. (eds) Vascular Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-33745-6_36
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DOI: https://doi.org/10.1007/978-3-319-33745-6_36
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