Key result
Individualized evaluation by a multidisciplinary team considering life expectancy, comorbidities, and vessel characteristics is essential for optimal arteriovenous vascular access selection.
A multidisciplinary approach and thorough clinical and anatomical evaluation are recommended for optimal selection and creation of arteriovenous vascular access in hemodialysis patients.
May guide AV access selection via multidisciplinary teams; leaves open randomized validation of outcomes.
When making decisions regarding vascular access creation, the clinician and vascular access team must evaluate each patient individually with consideration of life expectancy, timelines for dialysis start, risks and benefits of access creation, referral wait times, as well as the risk for access complications. The role of the multidisciplinary team in facilitating access choice is reviewed, as well as the clinical evaluation of the patient.
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MacRae et al. (2016) conducted a review in End-stage kidney disease requiring hemodialysis. Arteriovenous vascular access creation was evaluated. Individualized evaluation by a multidisciplinary team considering life expectancy, comorbidities, and vessel characteristics is essential for optimal arteriovenous vascular access selection.