Recommended standards for reports dealing with arteriovenous hemodialysis accesses

Anton N. Sidawy, Richard Gray, Anatole Besarab, Mitchell Henry, Enrico Ascher, Michael Silva, Arnold Miller, Larry Scher, Scott Trerotola, Roger T. Gregory, Robert B. Rutherford, K. Craig Kent

Research output: Contribution to journalArticlepeer-review

590 Scopus citations


The incidence rate of treated end-stage renal disease in the United States is 180 per million and continues to rise at a rate of 7.8% per year. Arteriovenous hemodialysis access (AV access) creation and maintenance are two of the most difficult issues associated with the management of patients on hemodialysis. The 1-year complication rate of a primary prosthetic AV access for hemodialysis ranges from 33% to 99%. Various investigators report on patency and complications of AV access. However, it is rather difficult to compare outcomes because of the wide variety of access materials, configurations, locations, risk factors, and quality of inflow and outflow vessels. Although there have been reporting standards for dialysis access endovascular interventions and for central venous access placement, standards regarding surgical access placement and its revision are lacking. The "Dialysis Outcome Quality Initiative," published by the National Kidney Foundation, provides recommendations for optimal clinical practices aimed at improving dialysis outcome and patient survival. This reporting standards document is not meant to be a "practice guidelines" or "best practices" document. Rather, the purpose of this document is to provide standardized definitions related to AV access procedures and to recommend reporting standards for patency and complications, to be used by surgeons, nephrologists, and interventional radiologists, that will permit meaningful comparisons among AV access procedures. The terms, definitions, and categories featured in this article have been approved by the Committee on Reporting Standards of the Society for Vascular Surgery and the American Association for Vascular Surgery and should be observed in preparing manuscripts on AV accesses for submission to the Journal of Vascular Surgery.

Original languageEnglish (US)
Pages (from-to)603-610
Number of pages8
JournalJournal of vascular surgery
Issue number3
StatePublished - Mar 2002
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine


Dive into the research topics of 'Recommended standards for reports dealing with arteriovenous hemodialysis accesses'. Together they form a unique fingerprint.

Cite this