Arteriovenous Fistulas: When They Fail & How to Save Them | Ep. 002

Arteriovenous fistulas are the gold standard for hemodialysis access, but it is quite common for them to develop problems. When they do, radiology catches it first. In episode two of Window & Level, we dive into the fistulogram workup — from maturation to maintenance. ⏱️ TIMESTAMPS:00:00 Welcome00:45 Introduction01:44 Understanding Fistula Creation and Types04:10 Evaluating Fistula Maturity 05:12 Failure of Maturation06:41 Interventions for Non-Mature Fistulas07:28 Fistula Maintenance and Reasons of Malfunction08:30 Physical Exam Insights for Fistulograms10:10 Preparing for a Fistulogram12:25 Stenting and Its Implications14:27 Unique Fistulogram Case and Pitfalls of Imaging Diagnosis17:19 Fistulogram is a Great Procedure for IR Training19:08 Advice for Aspiring RadiologistsGUEST: Dr. Patrick Litam, an interventional radiologist trained at Cleveland Clinic. With passion for resident education he brings expertise on AV fistula physiology, common failure patterns, and why fistulograms are one of the best procedures for IR trainees to master.📚 KEY REFERENCES: A. Sailer et al. Imaging of Arteriovenous Fistulas: Maturation, Maintenance, and Declotting. (RadioGraphics 2025) Article and presentation.🎙️ ABOUT WINDOW & LEVEL:Your 20-minute radiology education. We break down complex imaging with clinical pearls, protocols, and interpretation tricks you can apply on your next shift.🌟 OUR TEAM:Host: Dr. Genia GrikEditing & Creative Dev: Dr. Viacheslav LavshukCommunications & Promotion: Dr. Daria ZasorinaCreative Dev: Dr. Batyrkhan Abdrakhimov📱 CONNECT WITH US: Instagram: @windowandlevel X: /windowandlevel Facebook: /windowandlevel 💬 QUESTION FOR YOU: What is your most and least favourite IR procedure? 🔔 Subscribe for new episodes every two weeks. ⚠️ DISCLAIMER: This podcast is for educational purposes only and does not constitute medical advice. Always consult with qualified healthcare professionals for patient care decisions. The views expressed are those of the hosts and guests and do not necessarily reflect the views of their affiliated institutions. #radiology #InterventionalRadiology #procedures #FistuloGram #AVF #RadiologyResident #RadiologyEducation #MedicalEducation #RadiologyPodcast #MedStudent #imaging #RadRes #interventions #DiagnosticRadiology #RadiologyTraining #MedicalImaging #ClinicalPearls