Sameer Ahmed MD, Presenter: Nothing to Disclose

Siva P. Raman MD, Abstract Co-Author: Nothing to Disclose

Elliot K. Fishman MD, Abstract Co-Author: Research support, Siemens AG Advisory Board, Siemens AG Research support, General Electric Company Advisory Board, General Electric Company Co-founder, HipGraphics, Inc

Understand different available options for hemodialysis, including arteriovenous (AV) grafts, AV fistulas, hemodialysis catheters, and peritoneal dialysis, including the benefits and downsides of each method Understand the normal imaging appeareance on MDCT of AV grafts and fistulas, including different potential locations for their placement and their relationship to adjacent vasculature. Understand proper construction of a CT protocol designed to evaluate a graft or fistula Recognize a number of complications of grafts and fistulas that may be visible on MDCT.

1. Introduction Different types of hemodialysis access options available and their appropriateness in different situations Detailed discussion of grafts and fistulas, including the manner in which they are placed and the difference between grafts and fistulas 2. Anatomy Locations in which grafts and fistulas can be placed Different possible vascular communications which can be created Original artwork illustrating both fistulas and grafts from our in-house medical illustrator 3. MDCT appearance of normal grafts and fistulas. 4. Complications which can be recognized on MDCT, with case examples Stenosis Thrombosis Aneurysms/Pseudoaneurysms Ischemia/Steal syndrome Infection

http://abstract.rsna.org/uploads/2014/14007860/14007860_979h.pdf

Ahmed, S, Raman, S, Fishman, E, Arteriovenous (AV) Grafts and Fistulas for Hemodialysis Access—The Role of MDCT with CT Angiography and 3-D Reconstructions in Delineating Anatomy and Identifying Complications.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14007860.html