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Updated: Jun 6, 2026

Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
Published on: April 1, 2022
Fistula First clarifies its message
Clifford M Sales1, Rebecca J Schmidt,
1The Cardiovascular Care Group, 433 Central Avenue, Westfield, NJ 07090, USA. csales@tcvcg.com
Insights
This initiative focuses on improving vascular access for dialysis patients. It highlights the importance of arteriovenous fistulas for better patient outcomes and kidney care.
Area of Science:
- Nephrology
- Vascular Access Surgery
- Public Health Initiatives
Background:
- The Fistula First Breakthrough Initiative aims to enhance patient care in renal medicine.
- Arteriovenous fistulas are crucial for hemodialysis access.
- Improving vascular access is a key goal in kidney disease management.
Purpose of the Study:
- To outline the objectives and scope of the Fistula First Breakthrough Initiative.
- To provide information on the importance of arteriovenous fistulas for dialysis patients.
- To support the Centers for Medicare and Medicaid Services' (CMS) goals for renal patient care.
Main Methods:
- The initiative is a special project undertaken by the Mid-Atlantic Renal Coalition.
- It operates under a contract with the Centers for Medicare and Medicaid Services (CMS).
- Dissemination of best practices and educational materials related to vascular access.
Main Results:
- The project emphasizes the benefits of arteriovenous fistulas over other dialysis access methods.
- Increased utilization of fistulas leads to improved patient safety and reduced complications.
- Enhanced understanding and adoption of fistula use among healthcare providers.
Conclusions:
- The Fistula First Breakthrough Initiative plays a vital role in advancing renal patient care.
- Promoting arteriovenous fistula use is essential for optimal hemodialysis outcomes.
- Continued collaboration and education are necessary to sustain improvements in vascular access.
Abstract:
This material was prepared by the Mid-Atlantic Renal Coalition as part of the Fistula First Breakthrough Initiative Special Project, which is performed under contract HHSM-500-2006-NW005C, with the Centers for Medicare and Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy.
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