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The National Kidney Foundation Kidney Dialysis Outcomes Quality Initiative (KDOQI) has updated guidelines for 2019. Recognized complications are: bleeding, infection, aneurysm/pseudoaneurysm, seroma, access-related hand ischemia (ARHI) or steal syndrome, venous hypertension, neuropathy, and cardiopulmonary complications. Bleeding The most frequent bleeding…
The choice of intervention and conduit for lower extremity arterial reconstructions when the ipsilateral greater saphenous vein (GSV) is not present remains controversial. Many reconsider less optimal endovascular interventions, and others opt for use of the contralateral GSV, followed by…
Historical Background The steal phenomenon was first described in 1969 by Storey and associates after creation of a Brescia-Cimino-Appel autogenous access. Steal can be a potentially limb-threatening event and must be promptly evaluated and treated if clinically significant. The goals…