Recent innovations and advances in arteriovenous fistula creation: A narrative review
Arteriovenous fistulae (AVF) are the gold standard for vascular access among patients requiring hemodialysis; however, AVF have high primary failure rates. Novel approaches and technologies to improve AVF patency include modifications to open approaches, such as the radial artery deviation and reimp...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Vascular Investigation and Therapy |
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| Online Access: | https://journals.lww.com/10.4103/vit.vit_2_25 |
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| author | Cayetana Lazcano-Etchebarne Edouard Aboian David Strosberg Nirvana Sadaghianloo Andrew W. Schwartz Bryan Ho Yuichi Ohashi Masaki Kano Luis Gonzalez Hualong Bai Alan Dardik |
| author_facet | Cayetana Lazcano-Etchebarne Edouard Aboian David Strosberg Nirvana Sadaghianloo Andrew W. Schwartz Bryan Ho Yuichi Ohashi Masaki Kano Luis Gonzalez Hualong Bai Alan Dardik |
| author_sort | Cayetana Lazcano-Etchebarne |
| collection | DOAJ |
| description | Arteriovenous fistulae (AVF) are the gold standard for vascular access among patients requiring hemodialysis; however, AVF have high primary failure rates. Novel approaches and technologies to improve AVF patency include modifications to open approaches, such as the radial artery deviation and reimplantation fistula, and percutaneous approaches, such as the endovascular AVF. Despite these advances, these modifications are limited in reducing neointimal hyperplasia (NIH), stenosis, or thrombosis and thus have limited capacity to improve AVF maturation and utilization; as such, vascular access requires continued innovation. Emerging strategies to prevent NIH include drug-embedded and bioresorbable perivascular wraps. Increased rates of AVF failure among women highlight sex differences in the biology of AVF maturation and suggest additional targets to improve outcomes. Other advances in understanding the biology of AVF maturation suggest potentialized approaches for patients, including immune system modulation and stem cell therapies. Although these emerging technologies may improve AVF maturation and utilization, long-term patency and freedom from complications such as central vein stenosis and dialysis access associated distal ischemia emphasize the critical need for continued scientific inquiry and technological development to optimize vascular access. |
| format | Article |
| id | doaj-art-c009ab12fd7b4ac983a670d67c6c9d5a |
| institution | DOAJ |
| issn | 2589-9686 2589-9481 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Vascular Investigation and Therapy |
| spelling | doaj-art-c009ab12fd7b4ac983a670d67c6c9d5a2025-08-20T03:07:27ZengWolters Kluwer Medknow PublicationsVascular Investigation and Therapy2589-96862589-94812025-01-018171710.4103/vit.vit_2_25Recent innovations and advances in arteriovenous fistula creation: A narrative reviewCayetana Lazcano-EtchebarneEdouard AboianDavid StrosbergNirvana SadaghianlooAndrew W. SchwartzBryan HoYuichi OhashiMasaki KanoLuis GonzalezHualong BaiAlan DardikArteriovenous fistulae (AVF) are the gold standard for vascular access among patients requiring hemodialysis; however, AVF have high primary failure rates. Novel approaches and technologies to improve AVF patency include modifications to open approaches, such as the radial artery deviation and reimplantation fistula, and percutaneous approaches, such as the endovascular AVF. Despite these advances, these modifications are limited in reducing neointimal hyperplasia (NIH), stenosis, or thrombosis and thus have limited capacity to improve AVF maturation and utilization; as such, vascular access requires continued innovation. Emerging strategies to prevent NIH include drug-embedded and bioresorbable perivascular wraps. Increased rates of AVF failure among women highlight sex differences in the biology of AVF maturation and suggest additional targets to improve outcomes. Other advances in understanding the biology of AVF maturation suggest potentialized approaches for patients, including immune system modulation and stem cell therapies. Although these emerging technologies may improve AVF maturation and utilization, long-term patency and freedom from complications such as central vein stenosis and dialysis access associated distal ischemia emphasize the critical need for continued scientific inquiry and technological development to optimize vascular access.https://journals.lww.com/10.4103/vit.vit_2_25arteriovenous fistulaendovascularfistula maturationsex differencessurgical innovationsvascular access |
| spellingShingle | Cayetana Lazcano-Etchebarne Edouard Aboian David Strosberg Nirvana Sadaghianloo Andrew W. Schwartz Bryan Ho Yuichi Ohashi Masaki Kano Luis Gonzalez Hualong Bai Alan Dardik Recent innovations and advances in arteriovenous fistula creation: A narrative review Vascular Investigation and Therapy arteriovenous fistula endovascular fistula maturation sex differences surgical innovations vascular access |
| title | Recent innovations and advances in arteriovenous fistula creation: A narrative review |
| title_full | Recent innovations and advances in arteriovenous fistula creation: A narrative review |
| title_fullStr | Recent innovations and advances in arteriovenous fistula creation: A narrative review |
| title_full_unstemmed | Recent innovations and advances in arteriovenous fistula creation: A narrative review |
| title_short | Recent innovations and advances in arteriovenous fistula creation: A narrative review |
| title_sort | recent innovations and advances in arteriovenous fistula creation a narrative review |
| topic | arteriovenous fistula endovascular fistula maturation sex differences surgical innovations vascular access |
| url | https://journals.lww.com/10.4103/vit.vit_2_25 |
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