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1Hospital de Terrassa, Barcelona, Spain.
Summary
The Cimino-Brescia arteriovenous fistula, a key vascular access for haemodialysis since 1966, faces exhaustion due to frequent use and patient conditions. Research into new alternatives is crucial for ongoing treatment needs.
Area of Science:
- Vascular Surgery
- Nephrology
- Medical Devices
Background:
- The Cimino-Brescia arteriovenous fistula (FAVI) has been the primary vascular access for haemodialysis since its introduction in 1966.
- Regular use and patient comorbidities can lead to the exhaustion and failure of FAVIs.
Purpose of the Study:
- To highlight the long-standing importance of FAVIs in haemodialysis.
- To emphasize the need for continuous research into alternative vascular access methods due to FAVI limitations.
Main Methods:
- Historical review of vascular access for haemodialysis.
- Analysis of factors contributing to vascular access failure in chronic kidney disease patients.
Main Results:
- The FAVI remains the most utilized vascular access for haemodialysis.
- Vascular access can deteriorate over time owing to patient-related factors and treatment demands.
Conclusions:
- Despite its widespread use, the long-term efficacy of FAVIs is challenged by patient conditions and treatment intensity.
- Ongoing investigation into novel vascular access solutions is imperative to ensure sustained haemodialysis treatment for patients.