{Reference Type}: Journal Article
{Title}: Contemporary Strategies to Promote Dialysis Access Fistula Maturation.
{Author}: Walsh JP;Hentschel DM;Sharma G;Lotto CE;Ozaki CK;Walsh JP;Hentschel DM;Sharma G;Lotto CE;Ozaki CK;
{Journal}: Vasc Endovascular Surg
{Volume}: 56
{Issue}: 6
{Year}: Aug 2022
{Factor}: 1.046
{DOI}: 10.1177/15385744211037834
{Abstract}: 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.