Review of microsurgery and arteriovenous fistulae for hemodialysis.

Abstract

Patient comorbities, a patient's age and weight, the experience of the surgeon, and state of current vascular access are all factors used in determining the employment of microsurgical techniques to create or salvage an arteriovenous fistula (AVF) for hemodialysis. The aim of this study was to provide an overview of the literature concerning the use of microsurgery for AVFs as the permanent vascular access for both adults and children with end-stage renal disease (ESRD). The patient's overall state of health and long-term survival are always prime considerations in any medical management situation, and any technique that can make these goals more easily attainable by more patients is to be highly valued. Microsurgery for the establishment and repair of AVFs is another useful tool which is available if needed, depending on the unique needs of the patient, to aid the medical community in providing the best possible healthcare.