Vol. 3, Issue 1, Part D (2019)

Abstract: Arterio-venous fistula is widely accepted as an optimal access method for hemodialysis as measured by lower morbidity and mortality figures and reduced maintenance costs. Arterio-venous fistula survives longer than grafts and catheters. The radio cephalic Arterio-venous fistula remains the method of choice for hemodialysis access. The Renal Association Vascular Access for Hemodialysis clinical practice guidelines have encouraged the earlier formation of AVFs in an attempt to reduce the number of End Stage Renal Disease patients commencing hemodialysis using a central venous catheter (CVC). Despite its advantages over grafts and catheters, early and late fistula failures are relatively common and represent an enormous burden on patients and healthcare system. This study aims to determine the various factors affecting the outcome of Arterio-venous fistula which are created in patients with end stage renal failure requiring vascular access.