Asma Mathlouthi

Nov 3, 2023 | annalsofvascularsurgery.com | Michael Turner |Endovascular Surgery |Asma Mathlouthi

Objectives The size selection of the arteriovenous (AV) anastomosis in dialysis access creation requires a careful balance: the diameter must be large enough to accommodate sufficient flow for hemodialysis, but small enough to minimize the complication of steal syndrome. Steal syndrome affects up to 10% of patients after creation of dialysis access with sometimes devastating consequences. Conventional teaching recommends an 7-10 mm anastomosis.