Real-World Usage of the WavelinQ EndoAVF System

Percutaneous arteriovenous fistula creation with the 4F WavelinQ EndoAVF System

“…The rates of hemorrhage and pseudoaneurysms were low, as reported in prior EndoAVF studies. 5,9,22,25 Patency and functionality of the fistulae were satisfactory, with comparable results to traditional open surgical AVFs. 3,11,12,20,22,[29][30][31][32] EndoAVF were often associated with split outflow through more than one superficial vein, providing more options and longer lengths for hemodialysis cannulation.…”

“…Percutaneous methods for creation of an autogenous AVF were developed over the last decade to potentially reduce some of the complications of open surgical AVF construction. 3,5,7,9,[20][21][22][23][24][25] Patient preference for percutaneous options was found to be important in the subgroup of patients who were averse to surgical AVF and in those with anatomical restrictions to surgical AVF creation. 26,27 However, the challenges to a percutaneous AVF procedure are many.…”

“…device, originally introduced as the "everlinQ endoAVF System." 5,9 Subsequently, a 4 Fr. version of the system was released and it received its CE marking on 2017 with FDA clearance in 2019.…”

Endovascular Arteriovenous Fistula Creation: A Review

“…3 If the fistula does not achieve this target flow rate, additional endovascular interventions may be considered to assist maturation including coil embolization of a competing brachial vein or angioplasty of the fistula "anastomosis" itself (Ellipsys fistulas only), or even surgical correction. 5 Doppler sonography is also important in assessing the venous outflow. EndoAVFs are multioutflow fistulas which can drain via the cephalic vein, basilic vein, or both.…”

“…These include hematoma (9%), pseudoaneurysm (3%), arterial dissection (1%), and thrombosis (9%). 5,6 Overall, the complication rate is as low as 5.46%, with most complications correctable through minor procedures. 7 It is worth noting, however, that the relatively complex fistula anatomy relative to traditional sAVF can make ligation or surgical revision very challenging.…”