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Arteriovenous Access: Managing Common Problems

Luis Leon, MD

Paul Schalch, MD

Nicos Labropoulos, PhD

Marc Borge, MD

Peter G. Kalman, MD

Maywood, IL

The creation and maintenance of hemoaccess occupies a significant portion of most vascular and general surgery practices. In this article, the methods used to detect hemoaccess at risk for failure and the endovascular and surgical techniques used to prolong or restore their patency are reviewed. Also, the management of hemoaccess infection, aneurysmal degeneration, false aneurysm formation, and symptomatic arterial steal syndrome are described.

Key Words: failing hemoaccess • false aneurysm • arterial steal syndrome

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