Dialysis Access

A Multidisciplinary Approach

By: Gray Sands

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Hardcover | 19 September 2002 | Edition Number 1

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Dialysis Access: A Multidisciplinary Approach gives radiologists, nephrologists, and surgeons the complete knowledge base they need to deliver effective, coordinated care to dialysis patients with vascular access needs. This practical guide explains how to implement the National Kidney Foundation's Dialysis Outcomes Quality Initiative (DOQI) guidelines for vascular access and details procedures for creating vascular access...monitoring access failure...treating blocked access...and inserting and using central and peritoneal dialysis catheters. The state-of-the-art coverage includes discussions on pharmacologic interventions to prevent access failure and innovative concepts such as outpatient vascular access centers and new catheter designs. Dr. Gray is the lead author for the Society of Cardiovascular and Interventional Radiology (SCVIR)'s Dialysis Access Reporting Standards. International contributors are expert interventional radiologists, nephrologists, and vascular access surgeons. Dialysis Access: A Multidisciplinary Approach fully integrates these specialties' perspectives, providing the insight needed for optimum management of problems and offering an effective blueprint for working in concert with other specialists.

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Non-Fiction Science Chemistry Medicine Clinical & Internal Medicine Haematology Renal Medicine & Nephrology Surgery Other Branches of Medicine Medical Imaging Radiology

Contributing Authors	p. ix
Preface	p. xiii
Acknowledgment	p. xv
Dialysis Outcomes Quality Initiative for Vascular Access
National Kidney Foundation's Dialysis Outcomes Quality Initiative: Goals and General Principles	p. 3
Implementing a Vascular Access Program: Improved Outcomes with Multidisciplinary Approaches	p. 6
Dialysis Outcomes Quality Initiative Implementation: The Washington University School of Medicine Experience	p. 10
Trends in Vascular Access Procedures and Expenditures in Medicare's End-Stage Renal Disease Program	p. 17
Early Referral for Vascular Access	p. 25
Physiology of Hemodialysis
Physiologic Principles of Hemodialysis	p. 31
Is Quantitative Measurement of Dialysis Adequacy a Useful Outcome Measure?	p. 38
Pathophysiology of Arteriovenous Graft Failure	p. 46
Management of Bleeding and Clotting Disorders in Dialysis Patients	p. 52
Hemodialysis Access Creation
Preoperative Ultrasonography	p. 65
Venography before Angioaccess Creation	p. 67
New Nomenclature for Arteriovenous Hemodialysis Accesses	p. 74
Techniques and Outcomes after Polytetrafluoroethylene Graft Creation	p. 78
Techniques and Outcomes after Brachiocephalic and Brachiobasilic Arteriovenous Fistula Creation	p. 84
Overview of Complications and Management after Vascular Access Creation	p. 93
Management of Hemodialysis Vascular Access Infections	p. 98
Monitoring for Hemodialysis Access Failure
Vascular Access Surveillance: An Overview	p. 109
Physical Examination: The Forgotten Tool	p. 111
Role of Access Flow Measurement	p. 119
Doppler Ultrasound and Hemodialysis Access Management	p. 133
Pressure Measurements in the Surveillance of Vascular Accesses	p. 137
Treatment for Access Dysfunction
Prophylactic Angioplasty: Is It Worthwhile?
Pro Viewpoint	p. 153
Con Viewpoint	p. 157
Endovascular Interventions: Fistulography, Angioplasty, and Stents	p. 161
Diagnosis and Endovascular Treatment for Autologous Fistulae-related Stenoses	p. 170
Central Vein Lesions: Prevention and Management	p. 184
Treatment of the Thrombosed Access
Pharmacologic Thrombolysis for Dialysis Grafts	p. 199
Mechanical Thrombectomy Techniques and Devices	p. 205
Surgical Thrombectomy and Revision: Polytetrafluoroethylene Grafts	p. 215
Salvage of the Thrombosed Dialysis Access Graft: Surgical versus Radiologic Methods. Does It Matter?	p. 221
Endovascular Treatment of Thrombosed Autologous Fistulae	p. 229
Surgical Management of Autologous Fistulae: Early and Late Thrombosis, Maturation Failure, and Other Complications	p. 242
Central Dialysis Catheters
The Use of Catheters for Hemodialysis: Overview	p. 253
Catheter Insertion: Techniques, Cost, and Outcomes	p. 261
Exotic Catheter Access	p. 270
Management of the Infected Catheter	p. 283
Management of Catheter Malfunction	p. 290
Peritoneal Dialysis
Principles of Peritoneal Dialysis: Physiology, Patient Selection, and Catheter Maintenance	p. 303
Techniques of Peritoneal Catheter Insertion	p. 310
Percutaneous Radiologic Placement and Management of Peritoneal Dialysis Catheters: Technique and Results	p. 322
Current Innovative Concepts
Vascular Access Centers: An Innovative Approach for Vascular Access Care	p. 333
Pharmacologic Approaches to Preventing Hemodialysis Access Failure	p. 341
Physical and Biologic Considerations for Hemodialysis Catheters (Biofilm, Locks, and Ports)	p. 353
Endoluminal Grafts	p. 363
Vascular Brachytherapy	p. 371
Subject Index	p. 383
Table of Contents provided by Syndetics. All Rights Reserved.

Dialysis Access

A Multidisciplinary Approach

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