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Scott S. Berman, MD, FACS, Andrew T. Gentile, MD 

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Presentation on theme: "Scott S. Berman, MD, FACS, Andrew T. Gentile, MD "— Presentation transcript:

1 Impact of secondary procedures in autogenous arteriovenous fistula maturation and maintenance 
Scott S. Berman, MD, FACS, Andrew T. Gentile, MD  Journal of Vascular Surgery  Volume 34, Issue 5, Pages (November 2001) DOI: /mva Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

2 Fig. 1 Focal stenosis in a Brescia-Cimino fistula (A) successfully treated with transposition of the vein to a more proximal segment of radial artery (B). Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

3 Fig. 2 Long-segment stenosis in an elbow brachiocephalic fistula that failed to mature. Treatment required an interposition graft. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

4 Fig. 3 Fistulogram performed via direct puncture of a failing Brescia-Cimino showing severe proximal stenosis. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

5 Fig. 4 Fistula seen in Fig 3 revised by transposition to a more proximal segment of radial artery. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

6 Fig. 5 Subsequent angiogram of the proximal subclavian artery of patient in Figs 3 and 4 obtained after revised fistula failed to perform adequately. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

7 Fig. 6 Ideal catheter location to assess immature or failing fistulas, which allows for complete visualization of arterial inflow and venous outflow. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

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