Abstract
Vascular access in long-term hemodialysis patients is an evolving and increasingly complex situation facing vascular access surgeons. Central stenosis from repeated and long-term catheter use is the primary complication necessitating new techniques and technology to provide reliable and durable long-term internal access for these patients. This chapter will focus on several new advancements and highlight preexisting, but less commonly used, techniques to provide long-term hemodialysis access in this challenging patient population.
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Abbreviations
- AVF:
-
Arteriovenous fistula
- SVC:
-
Superior vena cava
- HeRO:
-
Hemodialysis Reliable Outflow
- ePTFE:
-
Expanded polytetrafluoroethylene
- LEAVG:
-
Lower extremity arteriovenous graft
- TEVG:
-
Tissue-engineered vascular graft
- CWAVG:
-
Chest wall arteriovenous graft
References
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Stahler, P.A., Redfield, R.R. (2017). Exotic Arteriovenous Graft Creation. In: Yevzlin, A., Asif , A., Redfield III, R., Beathard, G. (eds) Dialysis Access Cases. Springer, Cham. https://doi.org/10.1007/978-3-319-57500-1_16
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DOI: https://doi.org/10.1007/978-3-319-57500-1_16
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