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End stage renal disease (ESRD) is generally characterized by a deterioration in renal (kidney) function over time. The incidence rate for those 65 years of age and older exceeds 800 cases per million compared with 300 cases per million in those younger then age 65. Hemodialysis is the most common therapy for individuals with ESRD. In order to perform hemodialysis, a device that provides access to the arterial and venous circulation is required. There are different types of vascular access devices that provide for access to the circulation. Your vascular doctor can discuss these different options with you. For example, a primary or native arteriovenous (AV) fistula directly connects an artery and vein; an AV shunt or bridge fistula connects an artery and vein by using a synthetic tube. These procedures take about one hour and may be performed as an outpatient.Your vascular doctor can discuss all of your options with you. |
