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How soon can an AV fistula be routinely used for cannulation after its creation?

  1. 1 Week

  2. 2 Weeks

  3. 4 Weeks

  4. 6 Weeks

The correct answer is: 2 Weeks

The correct timeframe for routine use of an AV fistula for cannulation after its creation is approximately 2 weeks. This period allows sufficient time for the fistula to mature, which includes the process of neovascularization—the formation of new blood vessels—and the development of appropriate flow characteristics. A well-matured AV fistula typically has a thickened wall and is more accessible for needle insertion, reducing complications such as infiltration within the surrounding tissues. Cannulation too soon can lead to complications, such as thrombosis or inadequate blood flow. Thus, allowing the fistula to mature over the 2-week period supports better outcomes in patient care and enhances the longevity of the access site. This understanding of the maturation timeline parallels clinical practices and guidelines in nephrology, emphasizing safety and efficacy in vascular access for dialysis patients.