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Invited Critique |

Creating Arteriovenous Fistulas in 132 Consecutive Patients—Invited Critique

Samuel Eric Wilson, MD
Arch Surg. 2006;141(1):32. doi:10.1001/archsurg.141.1.32.
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Successful vascular access surgery requires experience, precision in technique, patience, and most of all, innovation. As described by Jennings, the results of the proximal radial artery to distal forearm vein (reverse) NAVF exemplify the best current outcomes in NAVF construction. On a regional basis, the prevalence of NAVFs in use for hemodialysis in North America is low, in the order of 40%, when compared with Europe and Australasia. A recent report1 on the almost 12 000 patients in the southeastern Network 13 showed the overall prevalence of NAVFs to be 28.2% and use of central catheters to be 29.7%. A careful reading of Jennings’ methods gives us another technique to improve our rate of NAVF construction.

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