New guideline emphasizes interventional radiology’s role in the longitudinal care of patients
FAIRFAX, Va., Sept. 9, 2025 /PRNewswire/ — The Society of Interventional Radiology (SIR) published new practice guidance for the creation of percutaneous arteriovenous fistulas (pAVFs) for dialysis access. The guidance was published online in the Journal of Vascular and Interventional Radiology (JVIR).
The document serves as a summary of what is required to develop a pAVF program, including patient preparation, performance of the procedure, complication management and follow-up care.
“End-stage renal disease (ESRD) remains a major source of patient morbidity and mortality across the world,” said SIR President Robert A. Lookstein, M.D., FSIR. “A durable hemodialysis access fistula has been shown to reduce morbidity and improve ESRD patients’ quality of life. By emphasizing the important role that interventional radiologists play in the longitudinal care of dialysis patients, including hemodialysis access fistula creation, this guideline helps ensure that IRs are recognized as vital members of the patient care team, which will be foundational to improving patient outcomes.”
The document is an important update to procedural guidance nearly 6 years after the Food and Drug Administration provided clearance for the procedure, which has now been incorporated into many clinical practices as a durable means of providing functional dialysis access.
“This guideline allows interventional physicians apply evidence-based approaches to fistula creation to improve patient care and quality of life,” said Lookstein.
Read the guideline on jvir.org.
About the Society of Interventional Radiology
The Society of Interventional Radiology is a nonprofit, professional medical society representing more than 8,000 practicing interventional radiology physicians, trainees, students, scientists, and clinical associates, dedicated to improving patient care through the limitless potential of image-guided therapies. SIR’s members work in a variety of settings and at different professional levels—from medical students and residents to university faculty and private practice physicians. Visit sirweb.org.
About the Journal of Vascular and Interventional Radiology
The Journal of Vascular and Interventional Radiology (JVIR), published continuously since 1990, is a monthly peer-reviewed journal serving the global community and specialty of interventional radiology. The official journal of the Society of Interventional Radiology, JVIR is the authoritative journal of choice for interventional radiologists and other collaborating physicians and scientists in imaging and minimally invasive therapeutic fields who seek current, evidence-based information on every aspect of vascular and interventional radiology. Each issue includes clinical, translational, basic science, and health policy and socioeconomic research on emerging and established domains of the specialty. Visit jvir.org.
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SOURCE Society of Interventional Radiology
