Clinical practice guideline on peri- and postoperative care of arteriovenous fistulas and grafts for haemodialysis in adults

Abstract

Chapter 2. Surgical and endovascular interventions for promoting arteriovenous fistula maturation 2.1. We suggest using regional block anaesthesia rather than local anaesthesia for arteriovenous fistula creation in adults with end-stage kidney disease. (2C) 2.2. We suggest there is insufficient evidence to support endof-vein to side-of-artery over side-of-vein to side-ofartery anastomosis for arteriovenous fistula creation in adults with end-stage kidney disease (2C) peri-and postoperative care of AV fistulas and grafts ii3 Downloaded from https://academic.oup.com/ndt/article/34/Supplement_2/ii1/5514502 by guest on 11 August 2023 Chapter 3. Surgical and endovascular interventions for non-maturing arteriovenous fistulas 3.1. We suggest there is insufficient evidence to support open surgical over endovascular interventions as the preferred treatment for non-maturing arteriovenous fistulas in adults with end-stage kidney disease. (2D) Advice for clinical practice: Decisions on how to treat non-maturing arteriovenous fistulas are likely best based on local resources, experience and success rates. Institutions likely benefit from building a dedicated multidisciplinary vascular access team, with clinical experience in various techniques available for non-maturing arteriovenous fistulas. Chapter 4. Self-administered interventions for arteriovenous fistula maturation 4.1. We suggest that a standardized exercise programme involving hand-and-arm exercises may improve arteriovenous fistula maturation in adults with end-stage kidney disease. (2C) 4.2. There is insufficient evidence to support specific exercise programmes or physical interventions to promote AV fistula maturation in adults with end-stage kidney disease. (-D)