AV Fistula Recirculation?

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Hi,

I'm newish to cannulating fistulas - I cannulated a patient the other day and may have placed the arterial needle too close to the anastamosis (needed to avoid a large eschar venous - what are peoples guidance/experience for avoiding recirculation r/t needle placement?  Many thanks!

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First, is this an AV graft? Or an actual fistula? Where is it located, and what vessels are involved?

Second, have you referred to your facility's policy regarding needle spacing parameters? 

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