{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T10:04:43Z","timestamp":1775815483962,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T00:00:00Z","timestamp":1770249600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T00:00:00Z","timestamp":1770249600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Hemodialysis International"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Vascular access is critical for hemodialysis in patients with end\u2010stage renal disease. Autogenous arteriovenous fistula is the first\u2010line option, while arteriovenous grafts are an alternative for patients with poor native vascular conditions. Over the past decade, early cannulation arteriovenous grafts with a multi\u2010layered structure have emerged, allowing cannulation within 24\u201372\u2009h after implantation to meet urgent dialysis needs. However, this specific structure renders them susceptible to dissection, a unique complication. To date, no systematic review has summarized the characteristics and management of this complication, and this paper aims to address this gap.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The search was conducted in the PubMed database. Finally, seven case reports and one cohort study were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>The diagnosis of dissection in early cannulation arteriovenous grafts mainly relies on Doppler ultrasound examination. Most reported cases involve Acuseal grafts, with dissections predominantly located between the middle and outer layers, and mostly on the anterior wall. It may be associated with balloon dilation, vascular sheath insertion, inappropriate puncture angle, and repeated joint movement. There is no standard treatment protocol. Available options include PTA, stent implantation, graft replacement, and conservative observation. Graft replacement yields the best primary patency rate. Stent implantation or graft replacement is recommended as the first\u2010line treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Reports on dissection in early cannulation arteriovenous grafts remain scarce. The true incidence across different graft types, optimal treatment strategies, and long\u2010term outcomes following various interventions have not been fully clarified, and further research should be conducted in the future.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hdi.70058","type":"journal-article","created":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T01:16:59Z","timestamp":1770340619000},"page":"313-317","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Characteristics and Management of Dissection in Early Cannulation Arteriovenous Grafts"],"prefix":"10.1111","volume":"30","author":[{"given":"Huan","family":"Luo","sequence":"first","affiliation":[{"name":"Department of Nephrology Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China  Chengdu Sichuan China"},{"name":"Department of Nephrology Xinjin Hospital of Sichuan Provincial People's Hospital (Chengdu Xinjin District People's Hospital)  Chengdu Sichuan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhiqiang","family":"Duan","sequence":"additional","affiliation":[{"name":"Air Force Hospital of Western Theater Command, PLA  Chengdu Sichuan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xuyang","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Nephrology Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China  Chengdu Sichuan China"},{"name":"Department of Nephrology Xinjin Hospital of Sichuan Provincial People's Hospital (Chengdu Xinjin District People's Hospital)  Chengdu Sichuan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi","family":"Fan","sequence":"additional","affiliation":[{"name":"Department of Nephrology Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China  Chengdu Sichuan China"},{"name":"Department of Clinical Medicine North Sichuan Medical College  Nanchong Sichuan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xudong","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Nephrology Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China  Chengdu Sichuan China"},{"name":"Department of Clinical Medicine North Sichuan Medical College  Nanchong Sichuan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiaojiao","family":"Du","sequence":"additional","affiliation":[{"name":"Department of Nephrology Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China  Chengdu Sichuan China"},{"name":"Chengdu University of Traditional Chinese Medicine  Chengdu Sichuan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0934-4152","authenticated-orcid":false,"given":"Fei","family":"Deng","sequence":"additional","affiliation":[{"name":"Department of Nephrology Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China  Chengdu Sichuan China"},{"name":"Department of Nephrology Xinjin Hospital of Sichuan Provincial People's Hospital (Chengdu Xinjin District People's Hospital)  Chengdu Sichuan 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