Program Book - Keck School of Medicine of USC - University of ...

Options and Strategies forUpper Extremity ArteriovenousFistula CreationChristian de Virgilio MDDivision of Vascular SurgeryHarbor-UCLA Medical CenterObjectivesTo discuss options for upper extremityhemodialysis– AV fistula– AV graftDiscuss ethnic differences in arm vein diametersTo provide an optimal access creation strategy– Timing– LocationTiming of Access PlacementAV fistula– At least 6 months prior to anticipated dialysis– Needs time to mature– May need revisionAV Graft– Only 3-6 weeks prior to anticipated dialysis– If placed too early, may thrombose before useGoals– Avoid central catheter– Minimize duration of central catheter32