• Dr. Allon is Professor of Medicine at University of Alabama at Birmingham, where he serves as the Associate Director for Clinical Affairs and the Medical Director of Dialysis Operations in the Division of Nephrology. He has a longstanding clinical research interest in dialysis, and in particular in vascular access for hemodialysis. He was the P.I. for several clinical dialysis trials sponsored by NIH, including HEMO, DAC, and HFM. He has published over 100 peer-reviewed manuscripts on various aspects of vascular access. Finally, he has been an invited speaker at numerous nephrology meetings on various topics related to vascular access.
  • Selected Publications

    Academic Article

    Year Title Altmetric
    2020 KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update 2020
    2020 Improvement in kidney function after ventricular assist device implantation and its influence on thromboembolism, hemorrhage, and mortality 2020
    2020 Prevention of bloodstream infections in patients undergoing hemodialysis 2020
    2019 Second-Chance Placement of Hemodialysis Patients After Involuntary Discharge for Disruptive Behavior 2019
    2019 Clinical Outcomes and Economic Impact of Starting Hemodialysis with a Catheter after Predialysis Arteriovenous Fistula Creation 2019
    2019 Is It Time to Abandon Buttonhole Cannulation of Arteriovenous Fistulas? 2019
    2019 Complications of Hemodialysis Catheter Bloodstream Infections: Impact of Infecting Organism 2019
    2019 Vascular access for hemodialysis patients: New data should guide decision making 2019
    2019 Mineral Metabolism Disturbances and Arteriovenous Fistula Maturation 2019
    2019 Management of the hemodialysis patient with catheter-related bloodstream infection 2019
    2019 Quantification of Complications of Tunneled Hemodialysis Catheters 2019
    2019 Abnormalities of vascular histology and collagen fiber configuration in patients with advanced chronic kidney disease 2019
    2019 Gender Disparities in Vascular Access Surgical Outcomes in Elderly Hemodialysis Patients 2019
    2019 Long-term outcomes of arteriovenous fistulas with unassisted versus assisted maturation: A retrospective national hemodialysis cohort study 2019
    2018 Choice of a second vascular access in hemodialysis patients whose initial arteriovenous fistula failed to mature 2018
    2018 Erratum: Prediction of arteriovenous fistula clinical maturation from postoperative ultrasound measurements: Findings from the hemodialysis fistula maturation study (Journal of the American Society of Nephrology (2018) 29 (2735-2744)DOI:10.1681/ASN.2017111225) 2018
    2018 Prediction of arteriovenous fistula clinical maturation from postoperative ultrasound measurements: Findings from the Hemodialysis Fistula Maturation Study 2018
    2018 Tradeoffs in Vascular Access Selection in Elderly Patients Initiating Hemodialysis With a Catheter 2018
    2018 Association of preexisting arterial intimal hyperplasia with arteriovenous fistula outcomes 2018
    2018 Postoperative ultrasound, unassisted maturation, and subsequent primary patency of arteriovenous fistulas 2018
    2018 Effect of Anti-Hypertensive Medication History on Arteriovenous Fistula Maturation Outcomes 2018
    2018 Relationships Between Clinical Processes and Arteriovenous Fistula Cannulation and Maturation: A Multicenter Prospective Cohort Study 2018
    2018 Lessons From International Differences in Vascular Access Practices and Outcomes 2018
    2018 Clinical trial end points for hemodialysis vascular access: Background, rationale, and definitions 2018
    2018 Recommended clinical trial end points for dialysis catheters 2018
    2018 Comparison of postoperative ultrasound criteria to predict unassisted use of arteriovenous fistulas for hemodialysis 2018
    2018 Fibrotic venous remodeling and nonmaturation of arteriovenous fistulas 2018
    2017 Challenges in developing new therapies for vascular access dysfunction 2017
    2017 The clinical and economic effect of vascular access selection in patients initiating hemodialysis with a catheter 2017
    2017 Vascular access type and clinical outcomes among elderly patients on hemodialysis 2017
    2017 Histopathology of veins obtained at hemodialysis arteriovenous fistula creation surgery 2017
    2017 Intimal hyperplasia, stenosis, and arteriovenous fistula maturation failure in the hemodialysis fistula maturation study 2017
    2017 Establishing patient-specific criteria for selecting the optimal upper extremity vascular access procedure 2017
    2017 Arteriovenous Grafts: Much Maligned But in Need of Reconsideration? 2017
    2017 Diagnosis, treatment, and prevention of hemodialysis emergencies 2017
    2017 Reassessing recommendations for choice of vascular access 2017
    2016 Association between preoperative vascular function and postoperative arteriovenous fistula development 2016
    2016 Central Venous Occlusion in the Hemodialysis Patient 2016
    2016 Predictors of initiation for predialysis arteriovenous fistula 2016
    2016 Outcomes of arteriovenous fistulas and grafts with or without intervention before successful use 2016
    2016 We Underutilize the Leg Graft 2016
    2016 Reduced Cardiovascular Mortality Associated with Early Vascular Access Placement in Elderly Patients with Chronic Kidney Disease 2016
    2016 Arteriovenous Fistula Development in the First 6 Weeks after creation 2016
    2016 Association of peritonitis with hemodialysis catheter dependence after modality switch 2016
    2016 New insights into dialysis vascular access: Impact of preexisting arterial and venous pathology on AVF and AVG outcomes 2016
    2016 New insights into dialysis vascular access: Introduction 2016
    2016 Preoperative vascular medial fibrosis and arteriovenous fistula development 2016
    2015 A patient with recurrent arteriovenous graft thrombosis 2015
    2015 Outcomes of elderly patients after predialysis vascular access creation 2015
    2015 Dialysis: Reducing central venous catheter use in haemodialysis 2015
    2015 Optical coherence tomography of dialysis graft after angioplasty 2015
    2015 Influence of Kidney Function on Risk of Supratherapeutic International Normalized Ratio-Related Hemorrhage in Warfarin Users: A Prospective Cohort Study 2015
    2015 Preoperative arterial microcalcification and clinical outcomes of arteriovenous fistulas for hemodialysis 2015
    2015 Risk evaluation of immediate surgical failure during thigh hemodialysis graft placement by sonographic screening 2015
    2015 What is the Significance of Staphylococcus aureus Colonization in Hemodialysis Patients? 2015
    2014 The transcription factor E26 transformation-specific sequence-1 mediates neointima formation in arteriovenous fistula 2014
    2014 The demented patient who declines to be dialyzed and the unhappy armed police officer son: What should be done? 2014
    2013 Novel paradigms for dialysis vascular access: Introduction 2013
    2013 Correlation of pre-existing vascular pathology with arteriovenous graft outcomes in hemodialysis patients 2013
    2013 Pneumonia in hemodialysis patients: A challenging diagnosis in the emergency room 2013
    2013 Preoperative venous intimal hyperplasia, postoperative arteriovenous fistula stenosis, and clinical fistula outcomes 2013
    2013 Natural history of tunneled dialysis catheters placed for hemodialysis initiation 2013
    2013 Predialysis vascular access surgery in patients with failing kidney transplants 2013
    2013 Long-term outcomes of arteriovenous thigh grafts in hemodialysis patients: A comparison with tunneled dialysis catheters 2013
    2013 Influence of kidney function on risk of hemorrhage among patients taking warfarin: A cohort study 2013
    2013 Evidence-based cardiology in hemodialysis patients 2013
    2013 When Should a Patient Receive an Arteriovenous Graft Rather Than a Fistula? 2013
    2012 Association of hemodialysis central venous catheter use with ipsilateral arteriovenous vascular access survival 2012
    2012 Ultrasound measurement of brachial artery elasticity prior to hemodialysis access placement: A pilot study 2012
    2012 Predicting successful arteriovenous fistula creation 2012
    2012 Considerations in the optimal preparation of patients for dialysis 2012
    2012 Effect of fish oil supplementation on graft patency and cardiovascular events among patients with new synthetic arteriovenous hemodialysis grafts: A randomized controlled trial 2012
    2012 Association of factor V gene polymorphism with arteriovenous graft failure 2012
    2012 Peripherally inserted central catheters and other intravascular devices: How safe are they for hemodialysis patients? 2012
    2011 Medial fibrosis, vascular calcification, intimal hyperplasia, and arteriovenous fistula maturation 2011
    2011 The spectrum of infections in catheter-dependent hemodialysis patients 2011
    2011 Arteriovenous graft placement in predialysis patients: A potential catheter-sparing strategy 2011
    2011 Arteriovenous graft infection: A comparison of thigh and upper extremity grafts 2011
    2011 Should anticoagulants and/or antiplatelet agents be used in patients with frequent access thrombosis but Without evident coagulopathy? 2011
    2011 Dialysis catheters and recombinant tissue plasminogen activator 2011
    2011 Comparison of Radiocephalic Fistulas Placed in the Proximal Forearm and in the Wrist 2011
    2011 Use of aspirin associates with longer primary patency of hemodialysis grafts 2011
    2011 Clinical management of dialysis catheter-related bacteremia with concurrent exit-site infection 2011
    2011 Decreased cumulative access survival in arteriovenous fistulas requiring interventions to promote maturation 2011
    2011 Medicare reimbursement policies and hemodialysis vascular access outcomes: A need for change 2011
    2011 Dialysis: Are prophylactic gentamicin catheter locks safe? 2011
    2011 Fistula first: Recent progress and ongoing challenges 2011
    2010 Dialysis fistula or graft: The role for randomized clinical trials 2010
    2010 Thrombectomy of Arteriovenous Dialysis Grafts with Early Failure: Is it Worthwhile? 2010
    2010 Warfarin dosing in patients with impaired kidney function 2010
    2010 A physiologic-based approach to the treatment of acute hyperkalemia 2010
    2010 Whether and When to Refer Patients for Predialysis AV Fistula Creation: Complex Decision Making in the Face of Uncertainty 2010
    2010 Does the heparin lock concentration affect hemodialysis catheter patency? 2010
    2010 Statin therapy is not associated with improved vascular access outcomes 2010
    2010 Practical Vancomycin Dosing in Hemodialysis Patients in the Era of Emerging Vancomycin Resistance: A Single-Center Experience 2010
    2010 Which direction is right for vascular access surveillance? A debate. 2010
    2010 Stent graft or balloon angioplasty alone for dialysis-access grafts [6] 2010
    2010 Erratum: Clinical practice guidelines for the diagnosis and management of intravascular catheter-related infection: 2009 update by the Infectious Diseases Society of America. (Clinical Infectious Diseases (2009) 49:(1-45)) 2010
    2010 Erratum: Clinical practice guidelines for the diagnosis and management of intravascular catheter-related infection: 2009 update by the Infectious Diseases Society of America. (Clin Infect Dis (2009) 49 (1-45)) 2010
    2009 Clinical outcomes of dialysis catheter-related candidemia in hemodialysis patients 2009
    2009 Does heparin coating improve patency or reduce infection of tunneled dialysis catheters? 2009
    2009 Reply to Collins et al and Manian 2009
    2009 Clinical practice guidelines for the diagnosis and management of intravascular catheter-related infection: 2009 update by the infectious diseases society of America 2009
    2009 Percutaneous renal biopsy: Outpatient observation without hospitalization is safe 2009
    2009 Treatment Guidelines for Dialysis Catheter-Related Bacteremia: An Update 2009
    2009 Effect of dipyridamole plus aspirin on hemodialysis graft patency 2009
    2009 Hemodialysis vascular access monitoring: Current concepts 2009
    2009 Kidney function influences warfarin responsiveness and hemorrhagic Complications 2009
    2009 Outcomes of brachiocephalic fistulas, transposed brachiobasilic fistulas, and upper arm grafts 2009
    2009 Treatment of Dialysis Catheter-Related Enterococcus Bacteremia With an Antibiotic Lock: A Quality Improvement Report 2009
    2008 Outcomes of percutaneous mechanical thrombectomy of arteriovenous fistulas in hemodialysis patients 2008
    2008 The Society for Vascular Surgery: Clinical practice guidelines for the surgical placement and maintenance of arteriovenous hemodialysis access 2008
    2008 Resolved: Fistulas are preferred to grafts as initial vascular access for dialysis 2008
    2008 Resolved: Fistulas are preferred to grafts as initial vascular access for dialysis. Con. 2008
    2008 In Reply 2008
    2008 Effect of clopidogrel on early failure of arteriovenous fistulas for hemodialysis. A randomized controlled trial 2008
    2008 Time to symptomatic vascular stenosis at different locations in patients with arteriovenous grafts 2008
    2008 Vascular Access: Core Curriculum 2008 2008
    2008 Disparities in fistula maturation persist despite preoperative vascular mapping 2008
    2008 Is surgical salvage of arteriovenous grafts feasible after unsuccessful percutaneous mechanical thrombectomy? 2008
    2008 Prophylaxis Against Dialysis Catheter-Related Bacteremia: A Glimmer of Hope 2008
    2008 Association between serum β2-microglobulin level and infectious mortality in hemodialysis patients 2008
    2008 Clinically immature arteriovenous hemodialysis fistulas: Effect of US on salvage 2008
    2007 In Reply 2007
    2007 Increased risk of infection associated with polyurethane dialysis grafts 2007
    2007 Design of the fish oil inhibition of stenosis in hemodialysis grafts (FISH) study 2007
    2007 Age affects outcomes in chronic kidney disease 2007
    2007 Management of hyperkalemia in dialysis patients 2007
    2007 Treatment of Dialysis Catheter-Related Staphylococcus aureus Bacteremia With an Antibiotic Lock: A Quality Improvement Report 2007
    2007 Current management of vascular access 2007
    2007 Letter to the editors [2] 2007
    2007 Percutaneous renal biopsy: Comparison of blind and real-time ultrasound-guided technique 2007
    2007 Effects of venous needle turbulence during ex vivo hemodialysis on endothelial morphology and nitric oxide formation 2007
    2007 Arteriovenous Grafts Still Have a Place in Dialysis 2007
    2007 Comparison of survival of upper arm arteriovenous fistulas and grafts after failed forearm fistula 2007
    2007 When to refer patients with chronic kidney disease for vascular access surgery: Should age be a consideration? 2007
    2007 Arteriovenous access outcomes in haemodialysis patients with HIV infection 2007
    2007 Aneurysm formation in arteriovenous grafts: Associations and clinical significance 2007
    2007 Impact of obesity on arteriovenous fistula outcomes in dialysis patients 2007
    2007 Treatment of refractory central vein stenosis in hemodialysis patients with stents 2007
    2006 Catheter-related bacteraemia in haemodialysis patients with HIV infection 2006
    2006 Response to 'Ultrasound surveillance and graft patency' [11] 2006
    2006 Prophylactic effect of antibiotic lock solution on bacteremia related to use of uncuffed hemodialysis catheters: Commentary 2006
    2006 In Reply 2006
    2006 Needle Infiltration of Arteriovenous Fistulae in Hemodialysis: Risk Factors and Consequences 2006
    2006 Effect of change in vascular access on patient mortality in hemodialysis patients 2006
    2006 Outcomes of thrombosed arteriovenous grafts: Comparison of stents vs angioplasty 2006
    2006 Randomized comparison of ultrasound surveillance and clinical monitoring on arteriovenous graft outcomes 2006
    2006 Cephalic vein measurement before forearm fistula creation: Does use of a tourniquet to meet the venous diameter threshold increase the number of usable fistulas? 2006
    2006 Risk equation determining unsuccessful cannulation events and failure to maturation in arteriovenous fistulas (REDUCE FTM I) 2006
    2005 Association of achieved dialysis dose with mortality in the hemodialysis study: An example of "dose-targeting bias" 2005
    2005 Outcomes of tunneled femoral hemodialysis catheters: Comparison with internal jugular vein catheters 2005
    2005 Turbulent flow evaluation of the venous needle during hemodialysis 2005
    2005 Questions about graft surveillance [3] 2005
    2005 Tunneled catheters in hemodialysis patients: Reasons and subsequent outcomes 2005
    2005 Shorter unassisted patency of vascular access after angioplasty in women [1] (multiple letters) 2005
    2005 The spectrum of infection-related morbidity in hospitalized haemodialysis patients 2005
    2005 Saving infected catheters: Why and how 2005
    2004 Vascular grafts for hemodialysis: Types, sites and techniques 2004
    2004 Dialysis catheter-related bacteremia: Treatment and prophylaxis 2004
    2004 Vascular access stenosis: Comparison of arteriovenous grafts and fistulas 2004
    2004 Association of pelvic arterial calcification with arteriovenous thigh graft failure in haemodialysis patients 2004
    2004 Improving outcomes in CKD and ESRD patients: Carrying the torch from training to practice 2004
    2004 Treatment of catheter-related bacteraemia with an antibiotic lock protocol: Effect of bacterial pathogen 2004
    2004 Associations with predialysis vascular access management 2004
    2004 Dialysis dose and the effect of gender and body size on outcome in the HEMO Study 2004
    2004 Preoperative Sonographic Radial Artery Evaluation and Correlation with Subsequent Radiocephalic Fistula Outcome 2004
    2003 Comparison of Arteriovenous Grafts in the Thigh and Upper Extremities in Hemodialysis Patients 2003
    2003 Interventional nephrology: Work in progress 2003
    2003 Impact of dialysis dose and membrane on infection-related hospitalization and death: Results of the HEMO study 2003
    2003 Prophylaxis against dialysis catheter-related bacteremia with a novel antimicrobial lock solution 2003
    2003 Hemodialysis arteriovenous fistula maturity: US evaluation [4] (multiple letters) 2003
    2003 Gender differences in outcomes of arteriovenous fistulas in hemodialysis patients 2003
    2003 How Can the Use of Arteriovenous Fistulas be Increased? 2003
    2002 Effect of dialysis dose and membrane flux in maintenance hemodialysis 2002
    2002 Pharmacokinetics and pharmacodynamics of darbepoetin alfa and epoetin in patients undergoing dialysis 2002
    2002 Hemodialysis arteriovenous fistula maturity: US evaluation 2002
    2002 Increasing arteriovenous fistulas in hemodialysis patients: problems and solutions. 2002
    2002 Increasing arteriovenous fistulas in hemodialysis patients: Problems and solutions 2002
    2001 Clinical consequences of infected arteriovenous grafts in hemodialysis patients 2001
    2001 Effect of preoperative sonographic mapping on vascular access outcomes in hemodialysis patients 2001
    2001 Predictors of arteriovenous graft patency after radiologic intervention in hemodialysis patients 2001
    2001 Simplified citrate anticoagulation for continuous renal replacement therapy 2001
    2000 Factors associated with the prevalence of arteriovenous fistulas in hemodialysis patients in the HEMO study. Hemodialysis (HEMO) Study Group. 2000
    2000 Arteriovenous fistula adequacy [3] (multiple letters) 2000
    2000 Bacteremia associated with tunneled dialysis catheters: Comparison of two treatment strategies 2000
    2000 Factors associated with the prevalence of arteriovenous fistulas in hemodialysis patients in the HEMO study 2000
    2000 Natural history of arteriovenous grafts in hemodialysis patients 2000
    2000 US vascular mapping before hemodialysis access placement 2000
    1999 Predictors of adequacy of arteriovenous fistulas in hemodialysis patients 1999
    1998 The effect of a self-monitoring tool on self-efficacy, health beliefs, and adherence in patients receiving hemodialysis. 1998
    1998 A multidisciplinary approach to hemodialysis access: Prospective evaluation 1998
    1998 Hemodialysis access graft stenosis: US detection 1998
    1998 Prospective evaluation of an anemia treatment algorithm in hemodialysis patients 1998
    1996 Medical and dialytic management of hyperkalemia in hemodialysis patients 1996
    1996 The role of cytosolic calcium in chronic adaptation to phosphate depletion in opossum kidney cells 1996
    1996 Effect of bicarbonate administration on plasma potassium in dialysis patients: Interactions with insulin and albuterol 1996
    1995 Adaptation to phosphate depletion in opossum kidney cells 1995
    1995 Effect of albuterol treatment on subsequent dialytic potassium removal 1995
    1995 Hyperkalemia in end-stage renal disease: Mechanisms and management 1995
    1993 Calcitriol stimulates Na(+)-Pi cotransport in a subclone of opossum kidney cells (OK-7A) by a genomic mechanism. 1993
    1993 The kidney in sarcoidosis 1993
    1993 Calcitriol stimulates Na+-P(i) cotransport in a subclone of opossum kidney cells (OK-7A) by a genomic mechanism 1993
    1993 Effect of insulin-plus-glucose infusion with or without epinephrine on fasting hyperkalemia 1993
    1993 Glucose modulation of the disposal of an acute potassium load in patients with end-stage renal disease 1993
    1993 Treatment and prevention of hyperkalemia in end-stage renal disease 1993
    1992 Effects of insulin and glucose on renal phosphate reabsorption: Interactions with dietary phosphate 1992
    1992 Extrarenal potassium tolerance in chronic renal failure: implications for the treatment of acute hyperkalemia. 1992
    1992 Correspondence 1992
    1992 Exclusion of linkage between hypokalemic periodic paralysis (HOKPP) and three candidate loci 1992
    1991 Adrenergic modulation of extrarenal potassium disposal in men with end-stage renal disease 1991
    1991 Cigarette use and hyponatremia in schizophrenic patients [11] 1991
    1991 Effects of maleic acid on renal phosphorus transport: Role of dietary phosphorus 1991
    1991 Renal adaptation to dietary phosphate restriction in rats: Interactions with insulin and calcitriol 1991
    1990 Effect of cardiac catheterization on renal function 1990
    1990 Severe hypophosphatemia in hospitalized patients 1990
    1990 Acute renal failure due to ciprofloxacin 1990
    1990 Interaction of captopril and ibuprofen on glomerular and tubular function in humans. 1990
    1990 Renal sodium and water handling in hypothyroid patients: The role of renal insufficiency 1990
    1990 Renal abnormalities in sickle cell disease 1990
    1990 Acute effects of captopril and ibuprofen on proteinuria in patients with nephrosis 1990
    1990 Acute effects of captopril and ibuprofen on proteinuria in patients with nephrosis 1990
    1990 Albuterol and insulin for treatment of hyperkalemia in hemodialysis patients 1990
    1990 Indomethacin in the treatment of lithium-induced nephrogenic diabetes insipidus (Reply) 1990
    1990 Insulin in the acute renal adaptation to dietary phosphate restriction in the rat 1990
    1990 Interaction of captopril and ibuprofen on glomerular and tubular function in humans 1990
    1990 Role of cigarette use in hyponatremia in schizophrenic patients 1990
    1990 Sodium and water excretion in nephrotic patients: Effects of changes in renal haemodynamics 1990
    1989 Effects of physiologic hyperinsulinemia on renal phosphate handling in the rat: A role for calcium 1989
    1989 Calcitriol in prolonged hypocalcemia due to the tumor lysis syndrome 1989
    1989 Indomethacin in the treatment of lithium-induced nephrogenic diabetes insipidus 1989
    1989 Nebulized albuterol for acute hyperkalemia in patients on hemodialysis 1989
    1989 Protein S and C antigen levels in proteinuric patients: Dependence on type of glomerular pathology 1989
    1989 Tubulointerstitial Nephritis Due to Vancomycin 1989
    1988 Complications with permanent peritoneal dialysis catheters: Experience with 154 percutaneously placed catheters 1988
    1988 Effects of nonsteroidal antiinflammatory drugs on renal function in sickle cell anemia 1988
    1988 Hyperphosphatemia, Hypocalcemia, and Renal Failure in a Patient With Acute Leukemia 1988
    1988 Minimal change glomerulonephropathy and interstitial infiltration with mycosis fungoides 1988
    1986 Prolonged Hypotension After Initial Minoxidil Dose 1986


    Year Title Altmetric
    2017 Infectious Complications From Vascular Access.  64-71.e1. 2017
    2017 Vascular Access for Hemodialysis in Adults.  23-39.e2. 2017
    2014 Venous catheter access: The basics 2014
    2014 Venous catheter infections and other complications 2014
    2013 Disorders of potassium metabolism.  90-99. 2013

    Research Overview

  • Vascular access for dialysis
  • Education And Training

  • Doctor of Medicine, University of Michigan System : Ann Arbor 1982
  • Bachelor's Degree in Biomedical Sciences, University of Michigan System : Ann Arbor 1980
  • Emory University Hospital Systems, Internship 1983
  • Emory University Hospital Systems, Residency 1985
  • Emory University Hospital Systems, Postdoctoral Fellowship 1987
  • Full Name

  • Michael Allon