Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Venous access: women are equal.

Nina Caplin1, Martin Sedlacek, Victoria Teodorescu

  • 1Departments of Medicine, Surgery, and Radiology, Mount Sinai School of Medicine, New York, NY, USA. ninacaplin@aol.com

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
|January 29, 2003
PubMed
Summary

Women have adequate vasculature for arteriovenous fistulae (AVFs) used in hemodialysis. This study found no significant anatomical differences between men and women, suggesting physician practice patterns influence AVF outcomes.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Could an Ultra-Processed Food for Special Dietary Use Advance Personalized Medicine in Diabetic Nephropathy?

The Journal of nutrition·2026
Same author

A Pilot Randomized Controlled Trial of Integrated Nephrology and Palliative Care Implemented at a Safety-Net Hospital.

Kidney medicine·2026
Same author

Automated measurement of intraperitoneal pressure versus patient fill-volume.

Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis·2026
Same author

Three People With Recurrent Nephrolithiasis and Heterozygous <i>ABCC6</i> Mutations.

Kidney medicine·2026
Same author

Phosphorus.

Advances in nutrition (Bethesda, Md.)·2025
Same author

Wireless, battery-free self-detecting smart arteriovenous graft for stenosis diagnosis in dialysis patients.

Biosensors & bioelectronics·2025

Area of Science:

  • Nephrology
  • Vascular Surgery
  • Radiology

Background:

  • Arteriovenous fistulae (AVFs) are the preferred hemodialysis access, but placement rates are low (25-30%) in the US.
  • Lower AVF prevalence in women is often attributed to perceived inadequate vasculature, a notion lacking objective evidence.
  • This study investigates sex-based differences in vasculature for AVF creation.

Purpose of the Study:

  • To objectively determine if significant differences in vasculature exist between men and women for arteriovenous fistula (AVF) placement.
  • To challenge the common perception of inadequate vasculature in women for hemodialysis access.
  • To identify potential factors influencing AVF outcomes beyond anatomical considerations.

Main Methods:

  • Retrospective analysis of preoperative vascular mapping data from 192 patients over a 2-year period.

Related Experiment Videos

  • Duplex ultrasound was routinely used for vascular mapping of upper extremities in patients requiring vascular access.
  • Data compared vein size, AVF placement rates, and AVF usage at hemodialysis initiation between sexes.

    • Main Results:

    • No significant difference in vein size was found between 106 women and 86 men at measured sites.
    • AVF placement rates were similar: 57% in women and 68% in men (P=0.2).
    • AVF utilization at hemodialysis initiation was comparable: 72% in women and 77% in men (P=0.57).

    Conclusions:

    • Findings support that women possess adequate vasculature for AVF placement, comparable to men.
    • Observed disparities in AVF outcomes between sexes may stem from physician practice patterns rather than anatomical differences.
    • Further research into practice patterns is warranted to improve AVF success rates in all patients.