Introduction: Options for Achieving Hemostasis Arterial access was first described by Sven Ivar Seldinger in the 1950s and is increasingly being utilized as open surgeries are replaced by minimally invasive…
Introduction General Issues Anatomy While access sites such as the common femoral artery are easily accessible, sometimes alternative access may be needed as a result of the previous site being…
Introduction The common femoral artery (CFA) is considered the most frequently used percutaneous arterial access site. Multiple methods are used as a landmark for entry, including pulse palpation, fluoroscopic guidance,…
Historical Background The steal phenomenon was first described in 1969 by Storey and associates after creation of a Brescia-Cimino-Appel autogenous access. Steal can be a potentially limb-threatening event and must…
Historical Background Despite the success of the Brescia-Cimino type subcutaneous arteriovenous fistula in 1962, the absence of suitable forearm vessels in many patients led to the evaluation of alternative conduits….
Historical Background As of 2007, 527,000 patients received treatment for end-stage renal disease in the United States. During this same year, approximately 1500 access interventions were performed per 1000 patients….
Historical Background In 1976 Dagher and colleagues reported a series of 23 upper arm basilic vein transpositions for hemodialysis. The procedure did not achieve widespread acceptance until after the first…
Historical Background Venous valve anatomy was first described in the 1500s, but with the exception of compression wraps, treatment for chronic venous disease (CVD) was not considered until several centuries…
Historical Background Kolff’s development of hemodialysis in the 1930s led to a series of advances in the care of patients with end-stage renal disease (ESRD). Although native arteriovenous fistulas and…
Historical Background In 1968 Kistner was the first to describe direct surgical repair of incompetent deep venous valves. Indirect valve repair was first popularized in the early 1980s after report…
