The art of fistula creation: Dr William Jennings’ approach to dialysis access

In this new episode of the "Let's Talk About Access" podcast series, Dr Alexandros Mallios interviews Dr William Jennings, specialist in proximal radial artery fistulas and pioneer of the "Fistula First" initiative, to discuss the decision-making process behind dialysis access creation.

How does an expert surgeon select the optimal fistula for each patient? Dr Jennings shares his approach to vessel assessment, the role of ultrasound and the Allen test, and the factors that influence his choice of access, from arterial quality and calcifications to venous anatomy and mobilisation.

He also discusses the evolution of his practice, the place of proximal radial artery fistulas, forearm basilic veins and more complex fistula options, while sharing perspectives from both European and US experiences.

Listen to this episode to discover the principles guiding his approach to dialysis access creation, and stay tuned for the next part of this conversation with Dr Jennings.