European Journal of Vascular & Endovascular Surgery
Volume 31, Issue 6 , Pages 661-666, June 2006

Autogenous Options in Secondary and Tertiary Access for Haemodialysis

  • J.H.M. Tordoir

      Affiliations

    • Department of Surgery, University Hospital Maastricht, Maastricht, The Netherlands
    • Corresponding Author InformationCorresponding author. Dr Jan HM Tordoir, Department of Surgery, University Hospital Maastricht, P Debijelaan 25, 6202 AZ, Maastricht, The Netherlands.
    • ,
  • X. Keuter

      Affiliations

    • Department of Surgery, University Hospital Maastricht, Maastricht, The Netherlands
    • ,
  • N. Planken

      Affiliations

    • Department of Surgery, University Hospital Maastricht, Maastricht, The Netherlands
    • ,
  • M.W. de Haan

      Affiliations

    • Department of Radiology, University Hospital Maastricht, Maastricht, The Netherlands
    • ,
  • F.M. van der Sande

      Affiliations

    • Department of Nephrology, University Hospital Maastricht, Maastricht, The Netherlands

Accepted 7 October 2005. published online 17 November 2005.

Abstract 

Objectives: The world's haemodialysis population is growing rapidly so that in 2006, some 1.5 million interventions will be needed for access placement, revision and maintainance. Secondary and tertiary arteriovenous fistulas are becoming an integral part of vascular access especially in the elderly, comorbid population.

Methods: Venous conduits may have a more favourable outcome with fewer complications and revisions in comparison with accesses using prosthetic implants. Innovative surgical techniques, including vein transposition, translocation and elevation may add to this philosophy of creating exclusively autogenous vascular access.

Keywords: Autogenous fistula, Secondary access, Tertiary access, Haemodialysis

 

 Update on Renal Access and Transplantation—one of a series of educational articles edited by Mr Christopher Gibbons, Swansea, UK.

PII: S1078-5884(05)00602-7

doi:10.1016/j.ejvs.2005.10.005

European Journal of Vascular & Endovascular Surgery
Volume 31, Issue 6 , Pages 661-666, June 2006

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