Episode 77

Endovascular AV Fistula Creation

with Dr. Neghae Mawla and Dr. Christopher Beck

Interventional Nephrologist Neghae Mawla from Dallas Nephrology Associates walks us through his experiences with endovascular AV Fistula creation, including devices, patient prep, procedure steps and post procedure care.

Special thanks to our sponsor

BackTable, LLC (Producer). (2020, August 17). Ep. 77 – Endovascular AV Fistula Creation [Audio podcast]. Retrieved from https://www.backtable.com/podcasts

In this Episode

Podcast Participants

Dr. Neghae Mawla is an Interventional Nephrologist with Dallas Nephrology Associates in Texas.

Host Dr. Chris Beck is a practicing interventional radiologist with Regional Radiology Group in New Orleans.


Your Endovascular Resource

BackTable is an exclusive library of peer-to-peer endovascular education that's always on, easy to access, and freely available to everyone in the world. Browse more content on BackTable. Contact us if you're interested in contributing!

Show Notes

1. Guest Introduction
a. Discuss background/training
b. Talk about current practice

2. 10,000 foot discussion regarding dialysis
a. Need for fistula creation
b. Compare to surgical creation

3. Candidates
a. Preprocedural evaluation
b. Specifics regarding AVF creation and vein mapping
c. Who is not a candidate
d. Who is an ideal candidate
e. Referral patterns

4. Preprocedural preparation
a. ASA? Plavix?
b. Anesthesia needs?
c. Nerve blocks

5. Procedure
a. Mightmake sense to talk about different systems first
b. Brief step by step guide
c. Discuss level of difficulty
d. Additional steps after AVF creation

6. Discuss AVF creation in setting of basilic vein transposition
a. Way to collaborate with vascular surgery

7. Postproceduralcare
a. Same day discharge
b. Most feared complicationc.Most common complications

8. Follow up
a. Clinic visits
b. Fistula characteristics
c. When is the fistula ready
d. Discuss what to do next if fistula is not ready for canalization

9. Discuss data
a. Papers you recommend for preparing for this procedure
b. Pivotal Trial
c. Neat Trial

10. Miscellaneous
a. How time consuming is this, from vein mapping to procedure
b. How long does procedure take
c. How does this tie in to conventional dialysis practice
d. Are they more difficult to stick? Have you seenresistance with dialysis units accessing these fistulae?

Hull JE, Jennings WC, Cooper RI, Waheed U, Schaefer ME, Narayan R. The Pivotal Multicenter Trial of Ultrasound-Guided Percutaneous Arteriovenous Fistula Creation for Hemodialysis Access.J Vasc Interv Radiol. 2018;29(2):149-158.e5. doi:10.1016/j.jvir.2017.10.015. https://avenumedical.com/wp-content/uploads/2018/03/avenu-us-pivotal-trial-jvir-feb-2018.pdf

Lok CE, Rajan DK, Clement J, et al. Endovascular Proximal Forearm Arteriovenous Fistula for Hemodialysis Access: Results of the Prospective, Multicenter Novel Endovascular Access Trial (NEAT).Am J Kidney Dis. 2017;70(4):486-497. doi:10.1053/j.ajkd.2017.03.026. https://www.ajkd.org/article/S0272-6386(17)30692-3/fulltext

Vascupedia Videos:
1. https://vascupedia.com/video/everlinq-4-endoavf-system-taped-case-linc-2018/?pid=1432
2. https://vascupedia.com/presentation/surgical-versus-percutaneous-arteriovenous-fistula-pavf-its-all-about-hemodynamics/
3. https://vascupedia.com/presentation/real-world-experience-nephrologists-opinion-on-pavfs/

Disclaimer: The Materials available on the BackTable Podcast are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

More Ways to Stay Up to Date

Get the App

Everything BackTable. All in one place. Get the free BackTable App to access exclusive intel on over 40 procedures.

Access the BackTable App Badge

Stream the Podcast

Is your media library missing a "seriously helpful advice from interventional experts" playlist? You can now listen to the BackTable podcast on these popular streaming platforms.

Listen on Spotify badge
Listen on Soundcloud badge
Listen on Apple Podcasts badge

Keep Up With Your Peers

Get BackTable In Your Inbox


We want to hear from you!

Submit this form if you're interested in contributing to BackTable as a Podcast Guest or as a Sponsor.

BackTable logo


Tel: 318-820-1023

1023 Walnut St. Suite 100

Boulder,  Colorado  80302

  • YouTube
  • White Twitter Icon
  • White LinkedIn Icon
  • Instagram
  • White Facebook Icon

© 2020 by Backtable. All rights reserved.


Please review our Terms of Use.