Percutaneous AV fistulas “not actually sacrificing” options, but rather “expanding” them

Larry Scher (New York, USA) interviews John Aruny (Orangeburg, USA) and Stephen Hohmann (Dallas, USA) for VEITHtv at the VEITHsymposium (19–23 November, New York, USA) about the role of percutaneous AV fistulas in contemporary haemodialysis practice.

Aruny says physicians are “on the brink of a whole new paradigm in technology” in regards to creating AV fistulas for haemodialysis patients – who will be the “most impacted” by these procedures. He and Hohmann also discuss patient selection and exclusion criteria for the procedure. 

Scher, for his part, says he remains sceptical about the new technology that allows AV fistulas to be inserted percutaneously rather than with open surgical procedures. He is also sceptical about non-surgeons using this technology when surgery may be a better option and goes on to emphasise the importance of a multidisciplinary approach to adopting this new technology.

However, Hohmann addresses these concerns and says that he believes this new technology expands physicians’ capabilities, rather than limiting them; adding that in most cases, physicians are “not sacrificing” but rather “expanding” the options available. 

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