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Evidence-based Therapy in Vascular Surgery pp 211–231Cite as

Vascular Access for Hemodialysis

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Abstract

The arteriovenous fistula should be placed as distally as possible in the non-dominant arm. Preferred type of vascular access for hemodialysis should be in descending order of preference a wrist (radiocephalic) primary fistula, an elbow (brachiocephalic) primary fistula, and a transposed brachial basilic vein fistula. For patients who have exhausted all forearm veins on both sides, a forearm loop graft, preferable to a straight configuration, and then an upper-arm graft may be considered.

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Authors and Affiliations

  1. Department of Vascular Medicine, University Heart and Vascular Center at University Clinics Hamburg–Eppendorf, Hamburg, Germany

    E. Sebastian Debus

  2. Former Medical Director, Community Hospital Altoetting-Burghausen, Burghausen, Germany

    Reinhart T. Grundmann

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  1. E. Sebastian Debus
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  2. Reinhart T. Grundmann
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Debus, E.S., Grundmann, R.T. (2017). Vascular Access for Hemodialysis. In: Evidence-based Therapy in Vascular Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-47148-8_12

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  • DOI: https://doi.org/10.1007/978-3-319-47148-8_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-47147-1

  • Online ISBN: 978-3-319-47148-8

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