ASDIN Clinical Case Focus: Timing of Secondary Arteriovenous Fistula Creation Avoids Tunneled Catheter Placement

The concept of secondary arteriovenous fistula, though not novel, is seldom practiced for lack of initiative or hesitancy in deciding the appropriate timing to abandon the existing access. We report a case illustrating the benefits of implementing the strategy in an elderly diabetic dialysis patient, successfully avoiding a tunneled cuffed catheter placement.