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To Ligate or not Ligate Arteriovenous Accesses: CON

  • 1 Loay Salman, MD, MBA, is chief of the division of nephrology and hypertension, the Thomas Ordway Distinguished Professor of Medicine at Albany Medical College, and the medical director of Dialysis Clinic, Inc., Albany.
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Kidney transplantation remains the best treatment option for patients with end stage kidney disease (ESKD). However, a dilemma faces healthcare providers when they care for ESKD patients: whether to ligate the patient’s arteriovenous (AV) access after kidney transplantation or leave it patent and maintain it. There is still considerable disagreement among providers on the best course of action when dealing with an AV access after kidney transplantation (1). In this article, I will discuss the disadvantages of ligating an AV access after kidney transplantation.

The 1-year and 5-year kidney graft survival rates range between 87% and 95% and

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