If a dialysis patient does not have adequate vessels to create an internal AV fistula, what is the recommended remedy?

The recommended remedy for a dialysis patient who does not have adequate vessels to create an internal arteriovenous (AV) fistula is to use synthetic grafts. Synthetic grafts serve as a conduit for blood flow between an artery and a vein, allowing for hemodialysis access. They are particularly useful in patients who have insufficient or unsuitable veins for a direct AV fistula creation due to issues such as scarring, prior surgeries, or vascular disease.

In cases where the native vessels are not a viable option, synthetic grafts can facilitate the necessary access for dialysis, ensuring the patient receives the treatment they require while minimizing complications associated with inadequate vascular access.