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Letters Arteriovenous fistulas

Alternatives to arteriovenous fistulas

BMJ 2014; 349 doi: (Published 02 December 2014) Cite this as: BMJ 2014;349:g7249
  1. R W Corbett, clinical research fellow1,
  2. D R Ashby, consultant nephrologist1,
  3. N D Duncan, consultant nephrologist1
  1. 1Imperial College Renal and Transplant Centre, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London W12 0HS, UK
  1. rcorbett{at}

In their review, Siddiky and colleagues suggest that arteriovenous fistulas for haemodialysis “offer the best short, intermediate and long term options for renal replacement therapy.”1 Although they have many advantages, one of the few rigorous systematic reviews in vascular access emphasises the often overlooked complication of primary non-function (the fistula never works).2 This occurs …

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