Home Dialysis Fistula Malfunction
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Suspected dysfunction of the upper or lower extremity hemodialysis access (ie, arteriovenous fistula or graft) suggested by an abnormal clinical indicator or hemodynamic indicator (ie, reduction in dialysis vascular access blood flow rate or kinetics). Treatment and procedures. 3196479
Fluoroscopy fistulography hemodialysis access with intervention


Usually appropriate
US duplex Doppler hemodialysis access area of interest
0 mSv
O
0 mSv [ped]
O
Usually appropriate
Surgical consultation


May be appropriate
Continued hemodialysis access use with surveillance


May be appropriate
Placement of a new tunneled dialysis catheter


May be appropriate