The AVF outcomes in terms of primary failure, patency and complication rates were significantly improved after introduction of multi-disciplinary care approach and pre-operative sonographic vascular mapping. These initiatives should be carried on and widely promoted in various hospitals with hemodialysis facilities.

Team collaboration is critical to boost up AVF use and to reduce catheter use and its related complications. This program is workable towards ‘Fistula First’ international benchmark and to strive to enhance patient’s vascular access outcomes.