Surgical creation of fistulas and grafts

Stuart Greenstein, Vihas Patel, Dean Kim

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


More than 200,000 patients with end-stage renal disease are maintained on long-term hemodialysis. This has been accomplished via the commitment of numerous professionals and para-professionals to their care. A major factor in the care of these patients is the creation and maintenance of long-term access. Access surgery by nature requires a conservative regimen, should follow basic rules, and requires the total, commitment of the surgeon to the patient in the long term. A cavalier attitude and view regarding the access as only an operative procedure is not only detrimental to the patient in the short term but also in the long term, when no further access site is available. The following manuscript reviews the surgical creation of fistulas and placement of grafts for hemodialysis and outlines our philosophy in the care of the hemodialysis access site.

Original languageEnglish (US)
Pages (from-to)174-178
Number of pages5
JournalTechniques in Vascular and Interventional Radiology
Issue number4
StatePublished - 1999

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine


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