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Semin intervent Radiol 2022; 39(01): 066-074
DOI: 10.1055/s-0042-1742381
Review Article

Devices and Techniques for Percutaneous Creation of Dialysis Arteriovenous Fistulas

Ahmed Kamel Abdel Aal
1   University of Texas Health Science Center at Houston, Department of Radiology, Houston, Texas
,
Xavier Jefferson
2   Baylor College of Medicine, Houston, Texas
,
Carleigh Klusman
2   Baylor College of Medicine, Houston, Texas
,
Laurynn Garcia
2   Baylor College of Medicine, Houston, Texas
,
Haydi Hassanein
3   University of Missouri, Columbia, Missouri
,
Talal Abdel Aal
4   Washington University, Saint Louis, Missouri
,
Mohamed M. Shahin
1   University of Texas Health Science Center at Houston, Department of Radiology, Houston, Texas
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Abstract

Dialysis treatment for chronic kidney disease was first developed by Dr. Willem Kolff in 1943, and its availability began to grow in 1962 after which it has become a mainstay treatment for patients with chronic kidney disease. It is estimated that, in 2021, 15% of adults in the United States (∼37 million people) have chronic kidney disease, of which 661,000 individuals have renal failure, and 468,000 individuals require dialysis. There have been several advancements in dialysis treatment since its advent, most notably the creation of arteriovenous fistulas (AVFs) for venous access in 1966. In recent years, the U.S. Food and Drug Administration approved two new devices for AVF creation using a percutaneous approach. These are the WavelinQ (Becton Dickinson, New Jersey) and the Ellipsys (Avenu Medical, California) endovascular AVF (endoAVF) devices that use radiofrequency and thermal technologies, respectively, to create the AVF. Since the introduction of these technologies, several studies have shown that they are safe and effective, with favorable durability and low rate of serious adverse events. In this article, we will discuss these two devices and the techniques used for percutaneous creation of dialysis AVF as an alternative to traditional open surgical techniques.

Keywords

percutaneous endovascular dialysis access - arteriovenous fistula creation - vascular access - dialysis - interventional radiology


Publication History

Article published online:
18 February 2022

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