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Creation of primary arteriovenous fistula:Vascular access for hemodialysis

Masao Nunokawa

Sustainable vascular access (VA) is literally a lifeline for most end-stage renal disease (ESRD) patients in Japan. For the creation of an arterio-venous fistula (AVF) for hemodialysis, I introduce a method performed at our institute that can be referred to by vascular surgeons. The lecture describes the preoperative assessment of targeted veins and arteries, and general condition as well as the importance of communication between the surgeon and the nephrologist. Detailed procedures are depicted and explained.