The art of fistula creation: Dr William Jennings on fistulas, grafts & complex access strategies

In this second part of their conversation, Dr Alexandros Mallios and Dr William Jennings delve deeper into the challenges and complexities of surgical dialysis access creation. 

From choosing between basilic vein transposition, brachial vein transposition or grafts in complex patients to planning a two-stage basilic procedure, Dr Jennings shares the technical considerations that guide his surgical decision-making. The discussion also covers perforator vein preparation, transposition-related sensitivity issues and practical tips for optimising fistula creation. 

Finally, Dr Jennings reflects on the evolution of the "Fistula First" initiative and the ongoing debate between fistulas and grafts, highlighting how appropriate training and surgical expertise may be the key to achieving better outcomes.

There is still much to discover about the art of fistula creation—listen to the full discussion and explore Dr Jennings' practical approach to complex dialysis access surgery.