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Table 2 Vascular access interventions required to enable or maintain the use of a vascular access for hemodialysis

From: Study protocol for Vascular Access outcome measure for function: a vaLidation study In hemoDialysis (VALID)

Vascular access

Intervention/Procedure

AVF/AVG

Open surgical or endovascular creation/placement of AVF/AVG

Open surgical revision or endovascular intervention of AVG/AVF

Thrombolysis or thrombectomy of AVG/AVF

Ligation or resection of arteriovenous access

Repair of aneurysm/pseudoaneurysm

Competing/collateral vein ligation

Fistulogram (Angiogram) +/− angioplasty +/− stenting (including inflow artery, body of AVF/AVG, venous outflow, central vein)

Competing/collateral vein embolization

Superficialization/transposition

Management of Dialysis Associated Steal Syndrome (DASS)/Access Induced Ischemia. Procedures include:

• Distal Revascularisation, Interval Ligation (DRIL)

• Proximalization of the Arterial Inflow (PAI)

• Revision Using Distal Inflow (RUDI)

• Banding

CVC

CVC insertion

CVC exchange

Fibrin sheath removal/disruption

CVC removal

  1. Vascular access interventions not to be included: Repositioning of patient on HD chair/bed, reversing of CVC lines, flushes of CVC lines, repositioning of dialysis needles in AVG or AVF, thrombolytics for CVC lines, use of antibiotics for vascular access-related infections
  2. Abbreviations: AVF Arteriovenous fistula, AVG Arteriovenous graft, CVC Central venous catheters (tunnelled and un-tunnelled)
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BMC Nephrology

ISSN: 1471-2369

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