The Vascular Track, by PVI online

In this second part of their conversation, Dr Alexandros Mallios and Dr William Jennings delve deeper into the challenges and complexities of surgical dialysis access creation. 

From choosing between basilic vein transposition, brachial vein transposition or grafts in complex patients to planning a two-stage basilic procedure, Dr Jennings shares the technical considerations that guide his surgical decision-making. The discussion also covers perforator vein preparation, transposition-related sensitivity issues and practical tips for optimising fistula creation. 

Finally, Dr Jennings reflects on the evolution of the "Fistula First" initiative and the ongoing debate between fistulas and grafts, highlighting how appropriate training and surgical expertise may be the key to achieving better outcomes.

There is still much to discover about the art of fistula creation—listen to the full discussion and explore Dr Jennings' practical approach to complex dialysis access surgery.

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In this new episode of the "Let's Talk About Access" podcast series, Dr Alexandros Mallios interviews Dr William Jennings, specialist in proximal radial artery fistulas and pioneer of the "Fistula First" initiative, to discuss the decision-making process behind dialysis access creation.

How does an expert surgeon select the optimal fistula for each patient? Dr Jennings shares his approach to vessel assessment, the role of ultrasound and the Allen test, and the factors that influence his choice of access, from arterial quality and calcifications to venous anatomy and mobilisation.

He also discusses the evolution of his practice, the place of proximal radial artery fistulas, forearm basilic veins and more complex fistula options, while sharing perspectives from both European and US experiences.

Listen to this episode to discover the principles guiding his approach to dialysis access creation, and stay tuned for the next part of this conversation with Dr Jennings.

Hosted on Acast. See acast.com/privacy for more information.