Changes in the practice of angioaccess surgery: Impact of dialysis outcome and quality initiative recommendations
Arteriovenous Shunt, Surgical
Blood Vessel Prosthesis Implantation
Practice Guidelines as Topic
Practice Patterns, Physicians'
Quality Assurance, Health Care
By adopting the DOQI recommendations, we used NAVFs more often. This resulted in superior patency rates, compared with synthetic grafts. The liberal use of preoperative duplex venous mapping further increased NAVF use, surpassing the DOQI expectations for primary arteriovenous fistulas. Additionally, fewer revisions were required.