Guidelines on vascular access for hemodialysis from the Brazilian Society of Angiology and Vascular Surgery (20 October 2023)

Front

1 of 3 · Front

📘 GuidelineCh 9 · Vascular & Venous Surgery

Guidelines on vascular access for hemodialysis from the Brazilian Society of Angiology and Vascular Surgery (20 October 2023)

In one breath

The SBACV guideline on vascular access for hemodialysis, answering fourteen practical questions: native arteriovenous fistula generally preferred but selection individualised, duplex mapping when examination cannot predict anatomy, and no evidence-supported universal minimum vessel diameter (2C).

Edition2023

Issued bySociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)

Place of issueBrazil

PublishedJornal Vascular Brasileiro · 2023;22

⏳ Pending verification

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

Back 1

2 of 3 · Back 1

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

§1 · What it covers

This guideline covers adults requiring haemodialysis access; vascular surgeons and multidisciplinary access teams. Fourteen practical questions address referral, mapping, access selection, catheter implantation, maturation, surveillance, ischaemia, stenosis, infection, aneurysm, and anaesthesia.

Applies to: Adults requiring haemodialysis access; vascular surgeons and multidisciplinary access teams. Fourteen practical questions address referral, mapping, access selection, catheter implantation, maturation, surveillance, ischaemia, stenosis, infection, aneurysm, and anaesthesia.

§2 · Key recommendations

Native AV fistula is generally preferred because of patency and infection advantages, but selection is individualized.
Duplex mapping is valuable when examination cannot predict anatomy.
There is no evidence-supported universal minimum vessel diameter.
the guideline records this as level 2C and notes that vessel quality, flow, distensibility, and wall characteristics matter.
Routine treatment of asymptomatic stenosis is not supported.
complications require clinical assessment.
The group uses GRADE and labels insufficient evidence as expert opinion.

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

GRADE quality A–D (high to very low) and recommendation strength 1 (strong) or 2 (weak); many access-specific statements are low certainty (for example 2C) or expert opinion.

§4 · What changed in this edition

Not yet established — pending verification.

§5 · Source & working link

Harduin L, et al. Guidelines on vascular access for hemodialysis from the Brazilian Society of Angiology and Vascular Surgery. J Vasc Bras. 2023;22. doi:10.1590/1677-5449.202300522.

Publisher — the record's original_url, carried verbatim ↗DOI — 10.1590/1677-5449.202300522 ↗

Link check 2026-11-11: the publisher (PMC) URL fetched live — HTTP 200; the DOI resolved at Crossref with matching title and journal.

Source: Tamer-supplied guideline index, intake 2026-11-10 (record #158, 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-sbacv-vascular-access-hemodialysis-2023GS.code · Guidelines

More in Division 9 · Vascular & Venous Surgery

📘 GuidelineCh 9 · Vascular & Venous Surgery⏳ Pending verification

UKKA Clinical Practice Guideline: Vascular Access for Haemodialysis (April 2023)

UKKA's vascular access guideline for haemodialysis: early education and vein preservation, referral and fistula formation for people likely to start haemodialysis within 12 months (2C), combined clinical and ultrasound assessment, and treatment of clinically significant stenosis with dysfunction (1B).

April 2023 · UK Kidney Association (UKKA)

📘 GuidelineCh 9 · Vascular & Venous Surgery⏳ Pending verification

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

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.

2021 · Expert Group of the Nephrology Branch of the China Academy of Chronic Disease Urology Nephrology and Blood Purification Commission of the China Medical Education Association