Download PDF
Semin intervent Radiol 2021; 38(05): 518-522
DOI: 10.1055/s-0041-1736531
Review Article

Endovascular Arteriovenous Fistula Creation: A Review

Ravi Tyagi
1   University of Illinois College of Medicine at Chicago, Chicago, Illinois
,
S. Samaduddin Ahmed
2   Chicago College of Osteopathic Medicine, Midwestern University, Downers Grove, Illinois
,
Rakesh Navuluri
3   Section of Interventional Radiology, Department of Radiology, University of Chicago, Chicago, Illinois
,
Osman Ahmed
3   Section of Interventional Radiology, Department of Radiology, University of Chicago, Chicago, Illinois
› Author Affiliations
› Further Information
Also available at
    Permissions and Reprints

Abstract

Endovascular arteriovenous fistula (endoAVF) creation offers a minimally invasive method for the formation of arteriovenous shunts utilized for hemodialysis. Currently, there exist two similar yet unique devices: WavelinQ and Ellipsys. This review analyzes the anatomy, pre- and postoperative considerations, fistula creation methods, and outcomes associated with endoAVF. Currently, data are limited with regard to clinical efficacy of endoAVFs when compared to surgical AVFs. However, early data suggest endoAVFs are a useful technique in the creation of AVFs.

Keywords

endovascular AVF - percutaneous fistula creation - WavelinQ - Ellipsys - dialysis - interventional radiology


Publication History

Article published online:
24 November 2021

© 2021. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Lok CE, Huber TS, Lee T. et al; National Kidney Foundation. 2019 update. [published correction appears in Am J Kidney Dis 2021;77(4):551]. Am J Kidney Dis 2020; 75 (4, Suppl 2): S1-S164
    CrossrefPubMedGoogle Scholar
  • 2 Vascular Access 2006 Work Group. Clinical practice guidelines for vascular access. Am J Kidney Dis 2006; 48 (Suppl. 01) S176-S247
    CrossrefPubMedGoogle Scholar
  • 3 Radosa CG, Radosa JC, Weiss N. et al. Endovascular creation of an arteriovenous fistula (endoAVF) for hemodialysis access: first results. Cardiovasc Intervent Radiol 2017; 40 (10) 1545-1551
    CrossrefPubMedGoogle Scholar
  • 4 Mallios A, Jennings WC, Boura B, Costanzo A, Bourquelot P, Combes M. Early results of percutaneous arteriovenous fistula creation with the Ellipsys Vascular Access System. J Vasc Surg 2018; 68 (04) 1150-1156
    CrossrefPubMedGoogle Scholar
  • 5 Zemela MS, Minami HR, Alvarez AC, Smeds MR. Real-world usage of the WavelinQ EndoAVF system. Ann Vasc Surg 2021; 70: 116-122
    CrossrefPubMedGoogle Scholar
  • 6 Lok CE, Rajan DK, Clement J. et al; NEAT Investigators. Endovascular proximal forearm arteriovenous fistula for hemodialysis access: results of the Prospective, Multicenter Novel Endovascular Access Trial (NEAT). Am J Kidney Dis 2017; 70 (04) 486-497
    CrossrefPubMedGoogle Scholar
  • 7 Yan Wee IJ, Yap HY, Tang TY, Chong TT. A systematic review, meta-analysis, and meta-regression of the efficacy and safety of endovascular arteriovenous fistula creation. J Vasc Surg 2020; 71 (01) 309-317.e5
    CrossrefPubMedGoogle Scholar
  • 8 Berland TL, Clement J, Griffin J, Westin GG, Ebner A. Endovascular creation of arteriovenous fistulae for hemodialysis access with a 4 Fr device: clinical experience from the EASE study. Ann Vasc Surg 2019; 60: 182-192
    CrossrefPubMedGoogle Scholar
  • 9 Hull J, Deitrick J, Groome K. Maturation for hemodialysis in the Ellipsys Post-Market Registry. J Vasc Interv Radiol 2020; 31 (09) 1373-1381
    CrossrefPubMedGoogle Scholar
  • 10 Dunn J, Herscu G, Woo K. Factors influencing maturation time of native arteriovenous fistulas. Ann Vasc Surg 2015; 29 (04) 704-707
    CrossrefPubMedGoogle Scholar
  • 11 Harika G, Mallios A, Allouache M. et al. Comparison of surgical versus percutaneously created arteriovenous hemodialysis fistulas. J Vasc Surg 2021; 74 (01) 209-216
    CrossrefPubMedGoogle Scholar
  • 12 Lee T, Mokrzycki M, Moist L, Maya I, Vazquez M, Lok CE. North American Vascular Access Consortium. Standardized definitions for hemodialysis vascular access. Semin Dial 2011; 24 (05) 515-524
    CrossrefPubMedGoogle Scholar
  • 13 Shahverdyan R, Beathard G, Mushtaq N, Litchfield TF, Nelson PR, Jennings WC. Comparison of outcomes of percutaneous arteriovenous fistulae creation by Ellipsys and WavelinQ devices. J Vasc Interv Radiol 2020; 31 (09) 1365-1372
    CrossrefPubMedGoogle Scholar
  • 14 Arnold RJG, Han Y, Balakrishnan R. et al. Comparison between surgical and endovascular hemodialysis arteriovenous fistula interventions and associated costs. J Vasc Interv Radiol 2018; 29 (11) 1558-1566.e2
    CrossrefPubMedGoogle Scholar
  • 15 Yang S, Lok C, Arnold R, Rajan D, Glickman M. Comparison of post-creation procedures and costs between surgical and an endovascular approach to arteriovenous fistula creation. J Vasc Access 2017; 18 (Suppl. 02) 8-14
    CrossrefPubMedGoogle Scholar