धमनी और नस के बीच कृत्रिम ट्यूब लगाकर बनाया गया डायलिसिस एक्सेस — फिस्टुला की तुलना में कम समय (2-4 सप्ताह) में उपयोग के लिए तैयार, लेकिन क्लॉटिंग और संक्रमण का खतरा अधिक।
An arteriovenous graft (AVG) is the second-line vascular access option when native vessels are inadequate for AV fistula creation. Made of polytetrafluoroethylene (PTFE), the graft is tunneled under the skin between an artery and vein. AV grafts have higher complication rates than AV fistulas — including thrombosis (20-60% annual thrombosis rate), infection, and pseudoaneurysm formation — but offer faster maturation (2-4 weeks) and easier cannulation. The Fistula First Breakthrough Initiative (CMS, 2003) targets AVF rates >50% among prevalent hemodialysis patients to reduce AVG and CVC dependence.
Advertisement
This content is a general reference, not medical advice, a diagnosis, or a treatment plan. Do not change your diet, fluids, medicines, or dialysis plan without your nephrologist or renal dietitian. Individual recommendations depend on your labs, medications, conditions, and care plan.