The need to have consistent methods and consistent technique to optimize hemodialysis outcomes is behind the concept of the Optiflow™ device. This device was created to allow for consistency in size of the arterial anastomosis and consistency in angle of the vein to the artery at the anastomosis. Early data suggest that allowing these two technical entities can improve outcomes in regards to flow and maturity in arteriovenous fistula creation. This article is a summary of early data that demonstrate the impact the Optiflow device on brachial cephalic fistulas.
LokCESontropJMTomlinsonGet al.Cumulative patency of contemporary fistulas versus grafts (20002010).Clin J Am Soc Nephrol2013;8 (5):810-818
2.
PetersonWJBarkerJAllonMDisparities in fistula maturation persist despite preoperative vascular mapping.Clin J Am Soc Nephrol2008;3 (2):437-441
3.
LeeTBarkerJAllonMTunneled catheters in hemodialysis patients: reasons and subsequent outcomes.Am J Kidney Dis2005;46 (3):501-508
4.
BiuckiansAScottECMeierGHPannetonJMGlickmanMHThe natural history of autologous fistulas as first-time dialysis access in the KDOQI era.J Vasc Surg2008;47 (2):415-421discussion 420-421.
5.
DemberLMBeckGJAllonMet al;Dialysis Access Consortium Study Group.Effect of clopidogrel on early failure of arteriovenous fistulas for hemodialysis: a randomized controlled trial. JAMA2008;299 (18):2164-2171
6.
Roy-ChaudhuryPKellyBSMelhemMet al.Vascular access in hemodialysis: issues, management, and emerging concepts.Cardiol Clin2005;23 (3):249-273
7.
Roy-ChaudhuryPKellyBSMelhemMet al.Novel therapies for hemodialysis vascular access dysfunction: fact or fiction!Blood Purif2005;23 (1):29-35
8.
KonnerKThe initial creation of native arteriovenous fistulas: surgical aspects and their impact on the practice of nephrology.Semin Dial2003;16 (4):291-298
9.
IvesCLAkohJAGeorgeJVaughan-HuxleyELawsonHPre-operative vessel mapping and early post-operative surveillance duplex scanning of arteriovenous fistulae.J Vasc Access2009;10 (1):37-42
10.
Roy-ChaudhuryPArendLZhangJet al.Neointimal hyperplasia in early arteriovenous fistula failure.Am J Kidney Dis2007;50 (5):782-790
11.
LeeTRoy-ChaudhuryPAdvances and new frontiers in the pathophysiology of venous neointimal hyperplasia and dialysis access stenosis.Adv Chronic Kidney Dis2009;16 (5):329-338
12.
Roy-ChaudhuryPSpergelLMBesarabAAsifARavaniPBiology of arteriovenous fistula failure.J Nephrol2007;20 (2):150-163
13.
HullJEBalakinBVKellermanBMWrolstadDKComputational fluid dynamic evaluation of the side-to-side anastomosis for arteriovenous fistula.J Vasc Surg2013;58 (1):187-93.e1
14.
BeathardGAArnoldPJacksonJLitchfieldTPhysician Operators Forum of RMS Lifeline.Aggressive treatment of early fistula failure. Kidney Int2003;64 (4):1487-1494
15.
HassonJEMegermanJAbbottWMSuture technique and para-anastomotic compliance.J Vasc Surg1986;3 (4):591-598
16.
SaranRElderSJGoodkinDAet al.Enhanced training in vascular access creation predicts arteriovenous fistula placement and patency in hemodialysis patients: results from the Dialysis Outcomes and Practice Patterns Study.Ann Surg2008;247 (5):885-891
17.
BharatAJaenickeMShenoySA novel technique of vascular anastomosis to prevent juxta-anastomotic stenosis following arteriovenous fistula creation.J Vasc Surg2012;55 (1):274-280
18.
SadaghianlooNDeclemySJean-BaptisteEet al.Radial artery deviation and reimplantation inhibits venous juxta-anastomotic stenosis and increases primary patency of radial-cephalic fistulas for hemodialysis.J Vasc Surg2016;64 (3):698-706.e1
19.
LeeJKimSKimSMet al.Assessing radiocephalic wrist arteriovenous fistulas of obtuse anastomosis using computational fluid dynamics and clinical application.J Vasc Access2016;17 (6):512-520
20.
ZhangLMoskovitzMPiscatelliSLongakerMTSiebertJWHemodynamic study of different angled end-to-side anastomoses.Microsurgery1995;16 (2):114-117
21.
MansonRJEbnerAGalloSet al.Arteriovenous fistula creation using the Optiflow vascular anastomosis device: a first in man pilot study.Semin Dial2013;26 (1):97-99
22.
ChemlaETavakoliANikamMet al.Arteriovenous fistula creation using the Optiflow™ vascular anastomotic connector: the OPEN (Optiflow PatEncy and MaturatioN) study.J Vasc Access2014;15 (1):38-44
23.
RobbinMLChamberlainNELockhartMEet al.Hemodialysis arteriovenous fistula maturity: US evaluation.Radiology2002;225 (1):59-64
24.
McLaffertyRBPryorRWIIIJohnsonCMRamseyDEHodgsonKJOutcome of a comprehensive follow-up program to enhance maturation of autogenous arteriovenous hemodialysis access.J Vasc Surg2007;45 (5):981-985
25.
SoleskyBCHuberTSBerceliSAPatient-centric analysis of dialysis access outcomes.J Vasc Access2010;11 (1):31-37
26.
FalkAMaintenance and salvage of arteriovenous fistulas.J Vasc Interv Radiol2006;17 (5):807-813
27.
AalamiOA Pilot Study to Prevent Juxta-Anastomotic AVF Stenosis With Placement of a Viabahn Endograft at the Time of Fistula Creation: The JuxtaBahn Procedure.J Vasc Surg2014;59 (6):59S