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Summary The optimal provision of vascular access for the ESRD patient involves the following: early identification of such patients so that either a primary a/v fistula or a PTFE graft may be created; prospective monitoring of VDP and urea recirculation to detect venous stenoses; intervention with either angio‐plasty or surgical revision in cases found to have venous stenosis; and development of a quality assurance plan that monitors thrombosis and fistula replacement rates and seeks causes of fistula thrombosis in patients without an anatomic basis for the clotting.
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Conlon et al. (1994) studied this question.
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