Establishment and maintenance of autogenous arteriovenous fistula in hemodialysis patients: A new beacon

Autogenous arteriovenous fistula (AVF) is a lifeline for maintenance hemodialysis patients. In 2006, the vascular access guidelines issued by the Kidney Disease Outcomes Quality Initiative (KDOQI) introduced the concept of “Fistula first”. In 2019, the same organization updated these vascular access guidelines and proposed the concept of “Patient first”, sparking a wide range of controversy and discussion on whether to abandon the “Fistula first” principle. Given this context, experts from across China mainland conducted a comprehensive and systematic evaluation of the relevant literature, evidence-based medical guidelines, and international guidelines. Given the regional and racial differences with regard to vascular access, over 3000 articles were reviewed with an emphasis on studies related to the Asian population. After much deliberation, 132 references were finally included, and an “Expert Consensus on the Establishment and Maintenance of