Brandon Michael Shearer DO, Presenter: Nothing to Disclose

Alexander Edward Trebelev MD, Abstract Co-Author: Nothing to Disclose

Brian Anthony Bianco DO, MBA, Abstract Co-Author: Nothing to Disclose

Nationwide measures continue to encourage the creation of arteriovenous fistulas (AVF) in patients requiring long-term dialysis. However, AVFs are plagued with high primary failure rates due to multiple causes. Salvage techniques of the non-maturing fistula are vital not only for patient care but for health-care cost containment reasons. The purpose of this educational exhibit is to provide a review of the pathophysiology of the non-matured AVF, its diagnosis, and salvage techniques with a focus on endovascular management. A pictorial case based review utilizing retrospectively identified patients with a non-maturing AVF will be presented.

1. Long-term dialysis guidelines for the creation of AV access. 2. Clinical criteria to define AVF non-maturation. 3. Common causes and pathophysiology for AVF non-maturation. 4. Clinical exam of the AVF for the diagnosis of failed maturation. 5. Review of digital subtraction angiography and ultrasound interrogation of an AVF. 6. Endovascular management options for the non-matured AVF.  

http://abstract.rsna.org/uploads/2014/14015913/14015913_whsi.pdf

Shearer, B, Trebelev, A, Bianco, B, Endovascular Management for the Non-Matured Arteriovenous Fistula.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14015913.html