الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Introduction: Haemodialysis did not become a viable clinical tool for the treatment of renal failure until the 1960s, the first clinical dialysis was performed on animals by the German physician, George Haas in 1914. His research in dialysis continued and, in October 1924, he was credited with the first dialysis on a clinically uremic human. Access related problems are responsible for about 50% of hospitalization of haemodialysis patients hence, the quality of vascular access is not only a medical but also a socioeconomic issue. The chronic renal failure is a major problem and requires the creation of vascular access, hence the complication of the vascular access appear to be critical to those patients. These complications are patient related, dialysis center related and surgeon related. To avoid these complication some concern must be followed by the patient as not to early utilize the newly created fistula and regular follow up of the fistula by a specialized doctor to early over come and manage the complication before it become aggressive, and the dialysis center should follow the aseptic technique for dialysis and proper choice of the site and repetition of the cannulation to avoid infection and aneurysmal formation. Aim of work: To review the prevalence of AVF complications and to put a general guides to decrease these complications, and the management of these complications if occurred. Conclusions: The surgeon should pay attention to the technique and suitable type of vascular access to the situation of the patient in order to meet the needs and much lessen the associated complications which could be followed according to the NKF guideline, and the management of these complication according to the situation whether to salvage the fistula or sacrifice it in order to save the patient life. Surgeons should follow the NKF-DOQI for management of each type of complication and use the best effort could be served.