https://doi.org/10.1177/1129729819889793 The Journal of Vascular Access 1–8 © The Author(s) 2019 Article reuse guidelines: sagepub.com/journals-permissions DOI: 10.1177/1129729819889793 journals.sagepub.com/home/jva JVA Te Journal of Vascular Access Patient selection, education, and cannulation of percutaneous arteriovenous fistulae: An ASDIN White Paper Haimanot Wasse 1 , Alejandro C Alvarez 2 , Debbie Brouwer-Maier 3 , Jeffrey E Hull 4 , Saravanan Balamuthusamy 5 , Terry F Litchfield 6 , Randy I Cooper 7 , Dheeraj K Rajan 8 , Vandana Dua Niyyar 9 , Anil K Agarwal 10 , Kenneth Abreo 11 , Charmaine E Lok 12 and William C Jennings 13 Abstract End-stage kidney disease patients who are candidates for surgical arteriovenous fistula creation commonly experience obstacles to a functional surgical arteriovenous fistula, including protracted wait time for creation, poor maturation, and surgical arteriovenous fistula dysfunction that can result in significant patient morbidity. The recent approval of two endovascular devices designed to create a percutaneous arteriovenous fistula enables arteriovenous fistula creation to be placed in the hands of interventionalists, thereby increasing the number of arteriovenous fistula providers, reducing wait times, and allowing the patient to avoid surgery. Moreover, current studies demonstrate that patients with percutaneous arteriovenous fistula experience improved time to arteriovenous fistula maturation. Yet, in order to realize the potential advantages of percutaneous arteriovenous fistula creation within our hemodialysis patient population, it is critical to select appropriate patients, ensure adequate patient and dialysis unit education, and provide sufficient instruction in percutaneous arteriovenous fistula cannulation and monitoring. In this White Paper by the American Society of Diagnostic and Interventional Nephrology, experts in interventional nephrology, surgery, and interventional radiology convened and provide recommendations on the aforementioned elements that are fundamental to a functional percutaneous arteriovenous fistula. Keywords Percutaneous arteriovenous fistula, endovascular arteriovenous fistula, dialysis access, patient selection, cannulation, dialysis education Date received: 21 September 2019; accepted: 6 October 2019 1 Department of Internal Medicine and Division of Nephrology and Hypertension, Rush University Medical Center, Chicago, IL, USA 2 NHS Vascular at SSM Health Saint Mary’s Health Center, St. Louis, MO, USA 3 Transonic Systems, Ithaca, NY, USA 4 Richmond Vascular Center, North Chesterfield, VA, USA 5 Tarrant Nephrology, Fort Worth, TX, USA 6 Access Solutions, Des Plaines, IL, USA 7 SKI Vascular Center, Tempe, AZ, USA 8 Division of Interventional Radiology, University of Toronto, Toronto, ON, Canada 9 Division of Nephrology and Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA 889793JVA 0 0 10.1177/1129729819889793The Journal of Vascular AccessWasse et al. review-article 2019 Review 10 Department of Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, USA 11 Department of Medicine, Louisiana State University Health Shreveport School of Medicine, Shreveport, LA, USA 12 Department of Medicine, University of Toronto, Toronto, ON, Canada 13 Department of Vascular Surgery, University of Oklahoma School of Community Medicine, Tulsa, OK, USA Corresponding author: Haimanot Wasse, Department of Internal Medicine and Division of Nephrology and Hypertension, Rush University Medical Center, 1717 W Congress Parkway, Kellogg Building, Suite 1026, Chicago, IL 60612, USA. Email: Monnie_Wasse@rush.edu