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March 2, 2026Open Access

Endovascular Creation of Native Arteriovenous Fistulas for Hemodialysis: A Percutaneous, Vessel-Sparing Strategy for Vascular Access

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Authors

GDGiulio DistefanoASAlessio SturialeCSConcetto Sessa

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Overview

Narrative review discusses endovascular AVFs as a minimally invasive vascular access method for hemodialysis.

Key Points

  • To evaluate the creation of endovascular arteriovenous fistulas and their feasibility compared to surgical options.
  • Updated narrative review of literature
  • Qualitative synthesis of evidence
  • Comparison of device performance and outcomes
  • Analysis of functional outcomes and complication rates.
  • EndoAVF has high technical success with low complication rates.
  • Clinical usability achieved within weeks with proper monitoring.
  • Functional outcomes comparable to surgical AVFs in select groups.
  • Varied estimates of primary patency across studies.

Cite This Study

Distefano et al. (2026) studied this question.

synapsesocial.com/papers/69a52e15f1e85e5c73bf169chttps://doi.org/10.3390/jcm15051855
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