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- W2911922617 abstract "Hemodialysis arteriovenous fistulas (AVFs) are inconstantly used primarily due to problems with maturation, early thrombosis and patient nonacceptance. An endovascular approach to fistula creation without open surgery offers another hemodialysis vascular access option. Published studies as well as our own clinical experience and remarkable single center cases are analyzed. Basic literature is reported and expert opinions are discussed. AVFs with fused anastomoses (Avenu Medical, Ellipsys) were created in 95.0% (102/107) of patients. Primary flow and diameter endpoints were achieved in 86.0% (92/107) of patients. In the NEAT study (Novel Endovascular Access Trial, using the everlinQ 6 Fr system), 80 patients were enrolled. In the EASE study and in all of our patients (access from the wrist) using the novel 4 Fr everlinQ system, an endoAVF was successfully created. Due to the unique anatomy and vessels used to create endoAVFs, those studies were single-arm studies without a surgical comparator. An endoAVF can be reliably created using different catheter-based systems, without open surgery and with minimal complications. EndoAVFs can be successfully used for hemodialysis and demonstrated a high 12-months cumulative patency in several studies. In the future, it may be an alternative for achieving AVFs for hemodialysis patients in need of a vascular access." @default.
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- W2911922617 date "2019-02-01" @default.
- W2911922617 modified "2023-10-10" @default.
- W2911922617 title "Endovascular arteriovenous fistula for hemodialysis access" @default.
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- W2911922617 doi "https://doi.org/10.1007/s00772-018-0500-y" @default.
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