TY - JOUR
AU - Davidson, Ingemar J.A.
AB - The Journal of Vascular Access 2009; 10 © 2009 Wichtig Editore 6th Annual Controversies in Dialysis Access - San Francisco, USA - November 12-13, 2009 ving fistula maturity. Maturation rates of the radio cephalic vein in multiple studies are noted to be below those of the brachial cephalic access. Marginal forearm veins often mean marginal access; and therefore, one should proceed to a brachial cephalic access to promote fistula maturation. Altering turbulent blood flow and altering the angle of the arteriovenous fistula creation can alle- viate the angle that occurs just distal to the anastomosis. Shenoy has presented a novel anastomo- tic angle of the vein to the artery which reduces turbulent blood flow and reduces swing segment stenosis creation. This novel approach to fistula creation can translate to improved maturation by reducing swing segment stenosis. Finally, there are new products being developed with hopes of improving fistula patency and maturation. One product is a pancreatic elastase that induces vein dilatation and therefore the hope is to improve fistula maturation. The other product is an allogenic endothelial cell product that induces vein dilatation and remolding of the venous endothelial cells that hopes to reduce intimal scarring. Both of these 
TI - AVF Immaturity and the Center Effect
JF - The Journal of Vascular Access
DO - 10.1177/112972980901000407
DA - 2009-10-01
UR - https://www.deepdyve.com/lp/sage/avf-immaturity-and-the-center-effect-7N4qP3HPZr
SP - 241
EP - 242
VL - 10
IS - 4
DP - DeepDyve
ER -