| Theme | Vascular access -- Creation, management, repair : the individualization based on the standardization | |
|---|---|---|
| Title | Selection rationales, formats and operation sites for initial AVG | |
| Publish Date | 2014/02 | |
| Author | Junichi Gotoh | Department of Surgery, Sapporo Hokuyu Hospital |
| Author | Kazuhiro Mino | Department of Surgery, Sapporo Hokuyu Hospital |
| Author | Seiichiro Tsuchihashi | Department of Surgery, Sapporo Hokuyu Hospital |
| Author | Masahiro Hattori | Department of Surgery, Sapporo Hokuyu Hospital |
| Author | Junichi Iida | Department of Surgery, Sapporo Hokuyu Hospital |
| Author | Kazutaka Kukita | Department of Surgery, Sapporo Hokuyu Hospital |
| [ Summary ] | Long-term patency rates for vascular access (VA) are best for those in the arterio-venous fistula (AVF). There are various complications associated with arterio -venous grafts (AVG). Therefore, the first form of VA used should be AVF. The opportunities to use AVG are increasing for initial dialysis therapy, because of the increasing patient with diabetes, obesity. There are three artificial methods in Japan for AVG, e-PTFE, PU, and PEP. We should be familiar with these three. Fabrication of AVG sites is also possible in the arms or legs. However, AVF should be conducted in the same way, in basic fabrication sites or peripheral sites. The first choice should be the elbow, then the forearm, followed by the upper arm, and finally the thigh. | |