Fistulae are first at Kansas dialysis services.(Fistula First: Vascular Access Update)

Nephrology Nursing Journal | July 1, 2006| | Copyright

The Fistula First Project was officially activated in July 2003 (Centers for Medicare & Medicaid Services [CMS], 2005). This action put into words and goals the process of re-thinking what the dialysis community would use for permanent hemodialysis access. Over the years, patients on dialysis, nephrologists, access surgeons, and hemodialysis staff members have seen the evolution from Scribner shunts, arteriovenous fistulae (AVFs), numerous types of graft materials and central line catheters, and back to fistulae. The fistula has proven to offer the least problems and the ...

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