Does Regular Surveillance Improve the Long-Term Survival of Arteriovenous Fistulas?
The rate of arteriovenous fistula (AVF) placement continues to rise and AVF failure is a major complication. The main cause of AVF failure is stenosis leading to thrombosis. Although the detection of early stenosis with preemptive correction prior to thrombosis seems to be a plausible option to prev...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | International Journal of Nephrology |
| Online Access: | http://dx.doi.org/10.1155/2012/539608 |
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| _version_ | 1832548670679023616 |
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| author | Ashwin Shetty William L. Whittier |
| author_facet | Ashwin Shetty William L. Whittier |
| author_sort | Ashwin Shetty |
| collection | DOAJ |
| description | The rate of arteriovenous fistula (AVF) placement continues to rise and AVF failure is a major complication. The main cause of AVF failure is stenosis leading to thrombosis. Although the detection of early stenosis with preemptive correction prior to thrombosis seems to be a plausible option to prevent access failure, there is much debate, on the basis of studies of surveillance with arteriovenous grafts, as to whether early surveillance actually improves the longevity of AVFs. Evaluating the available information for surveillance, specifically the data for AVF stenosis and survival, is necessary to determine if surveillance is warranted. These trials have shown that vascular access flow (Qa) surveillance is beneficial in revealing subclinical stenosis. Preemptive angioplasty and surgical revision have shown to decrease thrombosis rates. However, at the present time, there is only limited data on whether preemptive treatment equates to improved long-term AVF survival. |
| format | Article |
| id | doaj-art-3e937131360c41d0ae079ba681e3d7f3 |
| institution | Kabale University |
| issn | 2090-214X 2090-2158 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Nephrology |
| spelling | doaj-art-3e937131360c41d0ae079ba681e3d7f32025-02-03T06:13:19ZengWileyInternational Journal of Nephrology2090-214X2090-21582012-01-01201210.1155/2012/539608539608Does Regular Surveillance Improve the Long-Term Survival of Arteriovenous Fistulas?Ashwin Shetty0William L. Whittier1Division of Nephrology, Department of Internal Medicine, Rush University Medical Center, Chicago, IL 60607, USADivision of Nephrology, Department of Internal Medicine, Rush University Medical Center, Chicago, IL 60607, USAThe rate of arteriovenous fistula (AVF) placement continues to rise and AVF failure is a major complication. The main cause of AVF failure is stenosis leading to thrombosis. Although the detection of early stenosis with preemptive correction prior to thrombosis seems to be a plausible option to prevent access failure, there is much debate, on the basis of studies of surveillance with arteriovenous grafts, as to whether early surveillance actually improves the longevity of AVFs. Evaluating the available information for surveillance, specifically the data for AVF stenosis and survival, is necessary to determine if surveillance is warranted. These trials have shown that vascular access flow (Qa) surveillance is beneficial in revealing subclinical stenosis. Preemptive angioplasty and surgical revision have shown to decrease thrombosis rates. However, at the present time, there is only limited data on whether preemptive treatment equates to improved long-term AVF survival.http://dx.doi.org/10.1155/2012/539608 |
| spellingShingle | Ashwin Shetty William L. Whittier Does Regular Surveillance Improve the Long-Term Survival of Arteriovenous Fistulas? International Journal of Nephrology |
| title | Does Regular Surveillance Improve the Long-Term Survival of Arteriovenous Fistulas? |
| title_full | Does Regular Surveillance Improve the Long-Term Survival of Arteriovenous Fistulas? |
| title_fullStr | Does Regular Surveillance Improve the Long-Term Survival of Arteriovenous Fistulas? |
| title_full_unstemmed | Does Regular Surveillance Improve the Long-Term Survival of Arteriovenous Fistulas? |
| title_short | Does Regular Surveillance Improve the Long-Term Survival of Arteriovenous Fistulas? |
| title_sort | does regular surveillance improve the long term survival of arteriovenous fistulas |
| url | http://dx.doi.org/10.1155/2012/539608 |
| work_keys_str_mv | AT ashwinshetty doesregularsurveillanceimprovethelongtermsurvivalofarteriovenousfistulas AT williamlwhittier doesregularsurveillanceimprovethelongtermsurvivalofarteriovenousfistulas |