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

Saving a brachiocephalic fistula using lipectomy.

Cindy Roberts1

  • 1Vascular Access, University of North Carolina, Division of Nephrology, Chapel Hill, NC, USA.

Nephrology Nursing Journal : Journal of the American Nephrology Nurses' Association
|July 23, 2005
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

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

Sort by
Same journal

Improving CKRT Outcomes in Neonates and Infants through Interdisciplinary Collaboration (ICONIIC): Education Practices and Care Delivery Models.

Nephrology nursing journal : journal of the American Nephrology Nurses' Association·2026
Same journal

Current Perspectives of the Licensed Practical Nurse and Nephrology Nursing.

Nephrology nursing journal : journal of the American Nephrology Nurses' Association·2026
Same journal

Experiences of Individuals with Chronic Kidney Disease Who Participated in Shared Decision-Making Regarding Choice of Dialysis Modality.

Nephrology nursing journal : journal of the American Nephrology Nurses' Association·2026
Same journal

Retaining Confidence and Competence: Utilizing the American Nephrology Nurses Association's Competencies for Newly Graduated Nephrology Nurses.

Nephrology nursing journal : journal of the American Nephrology Nurses' Association·2026
Same journal

Nurse Practitioner-Led Comprehensive Conservative Kidney Care Program: Description of Program Implementation and Outcomes for Supportive Care for Persons with Chronic Kidney Disease.

Nephrology nursing journal : journal of the American Nephrology Nurses' Association·2026
Same journal

Assessing Staff Knowledge of Nutritional Management in Patients with Chronic Kidney Disease: A Quality Improvement Project.

Nephrology nursing journal : journal of the American Nephrology Nurses' Association·2026
See all related articles

Functioning arteriovenous fistulas (AVFs) offer superior vascular access outcomes compared to prosthetic devices. Surgical techniques like lipectomy can improve fistula creation by addressing vein depth and limb obesity.

Area of Science:

  • Nephrology
  • Vascular Surgery
  • Public Health Policy

Background:

  • Arteriovenous fistulas (AVFs) are the preferred method for hemodialysis vascular access due to superior outcomes.
  • The Centers for Medicare and Medicaid Services (CMS) initiated the "Fistula First" program in 2004 to promote AVF utilization.
  • Patients not dialyzing with AVFs exhibit increased mortality rates.

Observation:

  • Deep veins, often unscarred by prior intravenous (IV) access, are ideal candidates for AVF creation.
  • Limb obesity and excessive vein depth can pose challenges to successful AVF formation.
  • Lipectomy can overcome these anatomical barriers, facilitating AVF creation.

Findings:

  • Functioning AVFs demonstrate better long-term vascular access outcomes than prosthetic grafts.

Related Experiment Videos

  • The CMS "Fistula First" initiative highlights the clinical benefits of AVFs.
  • Surgical interventions like lipectomy can expand the pool of patients eligible for AVF creation.

    • Implications:

    • Increased AVF utilization can lead to improved patient survival and reduced morbidity.
    • Lipectomy represents a viable strategy to enhance AVF accessibility in challenging patient populations.
    • Promoting AVFs aligns with public health goals for optimizing chronic kidney disease patient care.