Expert consensus on the establishment and maintenance of native arteriovenous fistula (16 June 2021)

Front

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📘 GuidelineCh 9 · Vascular & Venous Surgery

Expert consensus on the establishment and maintenance of native arteriovenous fistula (16 June 2021)

In one breath

The Chinese expert consensus on native arteriovenous fistula: after evaluation and planning, native AVF should generally be the first choice — covering preoperative assessment, vessel planning, operative technique, perioperative drugs and postoperative maintenance, with decisions individualised to local circumstances.

Edition2021

Issued byExpert Group of the Nephrology Branch of the China Academy of Chronic Disease Urology Nephrology and Blood Purification Commission of the China Medical Education Association

Place of issueChina

PublishedChronic Diseases and Translational Medicine · 2021;7(4):235–253

⏳ Pending verification

FACE COLOURS Front — the summary · Back 1 — what it covers + key recommendations · Back 2 — evidence, changes + source

Back 1

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Back colours mark the reading sections — the chapter colour is the band and chip.

§1 · What it covers

This guideline covers chinese haemodialysis patients, especially those undergoing native AVF planning, creation, perioperative management, and maintenance; clinicians should adapt recommendations to actual circumstances.

Applies to: Chinese haemodialysis patients, especially those undergoing native AVF planning, creation, perioperative management, and maintenance; clinicians should adapt recommendations to actual circumstances.

§2 · Key recommendations

After evaluation and planning, native AVF should generally be first choice.
The consensus covers preoperative assessment, vessel planning, operative technique, perioperative drugs, postoperative maintenance, and future research.
It emphasizes that access choices differ across countries and regions and that decisions must be individualized.

FACE COLOURS Front — the summary · Back 1 — what it covers + key recommendations · Back 2 — evidence, changes + source

Back 2

3 of 3 · Back 2

Back colours mark the reading sections — the chapter colour is the band and chip.

§3 · Evidence & grading

The abstract does not present a standardized GRADE strength scheme for all recommendations; the document is expert consensus. It cites international guidance and evidence but does not make its recommendations equivalent to a high-certainty guideline.

§4 · What changed in this edition

Not yet established — pending verification.

§5 · Source & working link

Zhang H, et al. Expert consensus on the establishment and maintenance of native arteriovenous fistula. Chronic Dis Transl Med. 2021;7(4):235–253. doi:10.1016/j.cdtm.2021.05.002 · PMID 34786543.

Publisher — the record's original_url, carried verbatim ↗DOI — 10.1016/j.cdtm.2021.05.002 ↗PubMed — PMID 34786543 ↗

Link check 2026-11-11: the publisher (PMC) URL, DOI and PubMed record (PMID 34786543) all fetched live — title, journal, volume and pages match the record.

Source: Tamer-supplied guideline index, intake 2026-11-10 (record #159, Domain 15) · Card built 2026-11-11 (Wave D) from the record itself; the §5.2 verification pass (UpToDate + Medscape → Perplexity → Tamer decision) has not yet run on this card. ⚑ Conflict flag on the source record — documented cross-society disagreement (intake DOCX Table 2): Dialysis access — UKKA 2023 / SBACV 2023 vs Chinese AVF consensus 2021. Unresolved — pending the verification pass (UpToDate + Medscape → Perplexity → Tamer decision).

FACE COLOURS Front — the summary · Back 1 — what it covers + key recommendations · Back 2 — evidence, changes + source

gl-div09-china-avf-consensus-2021GS.code · Guidelines

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