Change Concept #5
Full Range of Appropriate Surgical Approaches to AVF Evaluation and Placement
Surgeons who are skilled in vein transposition techniques are able to create successful AV fistulae in a substantially greater number of patients. These options require vein mapping and a surgeon’s willingness to put in the additional time and effort. Make sure surgeons understand the logistics of cannulation so that they position the veins suitably and safely for cannulation.
Changes for Improvement
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Changes for Improvement:
Utilize Current Techniques for AVF Placement, including Vein Transpositions
Surgeons should utilize current techniques for AV fistula placement including vein transpositions.
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Changes for
Improvement:
Perform Mapping When Suitable Vessels Are Not Found on Physical Exam
Surgeons should ensure mapping is performed for any patient who is not deemed suitable for AV fistulae based solely on physical exam.
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