Ch. 2: Arteriovenous Grafts_Updated
Description
OBJECTIVES
After completing this unit the physician should be able to:
2. Compare the cumulative patency of an AVG to that of an AVF using the following criteria:
• Access longevity
• Interventions required to maintain patency• Mortality rate
• Cost
3. Describe the general characteristics of an AVG.
4. Identify the various major types of AVG.
5. Describe the requirements for an AVG.
6. Define the Phases of the Life Cycle of an AVF and describe each.
7. Apply the basic principles of patient evaluation that would indicate the need for an AVG.
8. Describe the importance of vascular mapping.
9. Discuss the major risk factors for AVG failure.
10. Describe the features that are necessary for an AVG to be clinically usable for dialysis.
11. Understand the principles related to timing of first cannulation of an AVG.
12. Describe the advantages and appropriate uses of an early cannulation AVG.
13. Distinguish among the three major cannulation techniques and define their advantages anddisadvantages.
14. Describe the major problems that can be encountered with first use of a newly created AVF.
15. Describe the major problems that can be encountered with sustained clinical use of an AVG andgeneral principles of management as they relate to:
• Stenosis
• Thrombosis
• Infection
• Hand ischemia
• Pseudoaneurysm formation
16. Describe the characteristics, appropriate use and management of problems related to a HeRO graft.