Vascular Access in Hemodialysis: the 2006 KDOQI ... - Network 6

CPG3. Accession of HD cathetersand port catheter systems• The use of aseptic technique and appropriatecannulation methods, the timing of fistula and graftcannulation, and early evaluation of immature fistulaeare all factors that may prevent morbidity and mayprolong the survival of long-term dialysis accesses.CPG 3. Cannulation & Access Care3.1 Aseptic technique should be used for all cannulationand catheter accession procedures. (A)3.2 Maturation - Fistula hand-arm exercise (B)If a fistula has not matured, a fistulogram or otherimaging study should be obtained to determine thecause of the problem. (B+).