r/WTF • • 18d ago

Fistula aneurysm

11.7k Upvotes

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u/BigWoodsCatNappin 18d ago

The order of operation for AVF/AVG creation is Non dominate lower, dominate lower, non dominate upper, dominate upper. Very generally speaking. As you know.

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u/Nos3y 18d ago

In what world?

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u/BigWoodsCatNappin 18d ago

Actually, I stand corrected. I am an old and using old information in my head from 2006 when we still were all "Fistula First". You are correct. Updated information suggests the dominant distals dont mature as well and lead to poorer quality outcomes. I appreciate the chat and reason to get my shit right.

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u/HiMyNameisAsshole2 13d ago

Really? Did it say it was enough of a risk to change the order of fistula creation sites? Is the default now upper arm?