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Semin Dial. 2008 Jul-Aug;21(4):364-6. doi: 10.1111/j.1525-139X.2008.00448.x. Epub 2008 Jun 28.

Timing of secondary arteriovenous fistula creation avoids tunneled catheter placement.

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  • 1Dialysis Access Group of Wake Forest University, Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157, USA.


The concept of secondary arteriovenous fistula, though not novel, is seldom practiced for lack of initiative or hesitancy in deciding the appropriate timing to abandon the existing access. We report a case illustrating the benefits of implementing the strategy in an elderly diabetic dialysis patient, successfully avoiding a tunneled cuffed catheter placement.

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