%0 Journal Article
%T Contemporary Strategies to Promote Dialysis Access Fistula Maturation.
%A Walsh JP
%A Hentschel DM
%A Sharma G
%A Lotto CE
%A Ozaki CK
%A Walsh JP
%A Hentschel DM
%A Sharma G
%A Lotto CE
%A Ozaki CK
%J Vasc Endovascular Surg
%V 56
%N 6
%D Aug 2022
%M 35574704
%F 1.046
%R 10.1177/15385744211037834
%X Background: The inability of a newly created arteriovenous fistula to support hemodialysis due to non-maturation results in increased complications secondary to catheter dependence. Methods: In view of the highly variable approaches by providers with heterogenous backgrounds (general surgery, vascular surgery, interventional radiology and interventional nephrology, urology, transplant surgery, etc.) we sought to describe a collection of algorithms that have functioned well in our hands to manage this challenging clinical problem and guide trainees and practicing clinicians alike.Results: Physical examination along with selective duplex ultrasound and fistulogram can identify most pathologies underlying non-maturation.Conclusion: Both endovascular and open techniques can be employed to optimize maturation rates in this complex population.