Moving beyond the science of hemodialysis access, this collection of clinical cases covers procedural and practical aspects of arteriovenous fistula, arteriovenous graft, dialysis catheter, draining veins, central veins, arterial interventions and hand ischemia. World experts in the disciplines of interventional nephrology, interventional radiology and surgery offer creative visions of their practice and provide insights on topics from routine access creation to advanced novel techniques. Dialysis Access Cases presents solutions to problems encountered in practice while capturing the art of this medical discipline and challenging procedure.
"The renal failure and hemodialysis dependent population is increasing worldwide. Hemodialysis access is the life-line of these patients. Hemodialysis access related surgical and interventional procedures form a major demand to the healthcare services in many developed and developing countries. As such, the proper clinical decision, planning and performance of these procedures will greatly benefit the hemodialysis patients and reduce unnecessary healthcare costs. This book is a practical guide for clinicians and nurses creating, treating or managing hemodialysis accesses for renal failure patients. Basic principles to manage common or difficult situations of hemodialysis access are discussed and illustrative clinical cases are shown as examples. This book is an essential reading material for healthcare professionals in their early phase of developing the hemodialysis access program, while providing useful tips and tricks to established clinicians that will broaden their armamentarium."--
The renal failure and hemodialysis dependent population is increasing worldwide. Hemodialysis access is the life-line of these patients. Hemodialysis access related surgical and interventional procedures form a major demand to the healthcare services in many developed and developing countries. As such, the proper clinical decision, planning and performance of these procedures will greatly benefit the hemodialysis patients and reduce unnecessary healthcare costs. This book is a practical guide for clinicians and nurses creating, treating or managing hemodialysis accesses for renal failure patients. Basic principles to manage common or difficult situations of hemodialysis access are discussed and illustrative clinical cases are shown as examples. This book is an essential reading material for healthcare professionals in their early phase of developing the hemodialysis access program, while providing useful tips and tricks to established clinicians that will broaden their armamentarium. Contents:General Principles of Hemodialysis Access Creation (Jackie P Ho)Algorithm of Assessment and Planning of Hemodialysis Access Creation in Challenging Conditions (Jackie P Ho)Creation of Vascular Access (Jackie P Ho)Challenges in Tunnelled Catheter Insertion (Anil Gopinathan)Assessment of Vascular Access Maturity and Long Term Performance (Jackie P Ho)CO2 Angiography: Application and Caution (Kyung J Cho)Strategies to Assist Fistula Maturation and Successful Use for Hemodialysis (Jackie P Ho)Endovascular Salvage for Failing Hemodialysis Access (Jackie P Ho)Endovascular Salvage for Thrombosed Hemodialysis Access (P J Ko and S Y Chu)Surgical Management for Failing and Failed Hemodialysis Access (Jackie P Ho)Strategies for Central Vein Obstruction (Kyung J Cho)Prevention, Diagnosis and Management of Steal Syndrome (Jackie P Ho)Management of Aneurysm, Pseudoaneurysm and Infective Complications of Hemodialysis Access (Jackie P Ho)Vascular Access for Desperate Situations (Jackie P Ho)Multi-Disciplinary Team Approach for Optimal Hemodialysis Access Care (Jackie P Ho) Readership: Surgeons, physicians, interventionists and nurses managing hemodialysis access. Key Features:This book provides an overall principle of hemodialysis access management strategy, discussion and illustration on various hemodialysis access creation and maintenance, review of treatment for various challenging access conditionsThe authors are vascular surgeons and intervention radiologists dedicated to hemodialysis access service. This book has a comprehensive coverage of surgical and intervention management of various conditions of hemodialysis access This book consists of large number of clinical photographs, schematic diagrams, operative and interventional images, and clinical decision flow chart for easy reading and understandingKeywords:Hemodialysis Access;Fistula;Renal Failure;Vascular Access
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 catheters. 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.
This publication is intended as a guide to common diagnostic, operative and percutaneous techniques used in creating and maintaining vascular access for hemodialysis. When writing the text, the authors have focused on surgeons in training, fellows, interventional radiologists and clinically active nephrologists. Dialysis nurses and other clinicians involved in the care of end stage renal disease and dialysis patients will also greatly benefit from this handbook. This 2nd edition of the text contains expanded sections on ESRD, access surveillance and surgical and diagnostic devices, as well as new sections on peritoneal and dual lumen catheter placement, commonly used drugs and dialysis, hemo- and peritoneal dialysis techniques and CPT and ICD coding for statistical and billing purposes. These changes reflect the highly technical nature of clinical management in this evolving specialty.
Publisher: Karger Medical and Scientific Publishers
Recent developments have spurred a renewed interest in novel solutions to access the patient circulation, mainly concentrating on vascular access for renal replacement therapies and on peritoneal dialysis access.Starting with the epidemiology, the focus then shifts to the evolution of new techniques and monitoring procedures with regard to hemodialysis, which are discussed and evaluated. Attention is also paid to the new biomaterials available, concentrating on their improved biocompatibility and surface characteristics. As developments in the field of peritoneal dialysis have taken a similar turn, new devices providing access to the peritoneal cavity which have recently been made available are introduced next. Last but not least, the management of complications and the continuous maintenance and care of the access with regard to both hemodialysis and peritoneal dialysis are highlighted.This book provides a complete overview of the devices, catheters and methods currently available to ensure successful vascular and peritoneal access. Taking into account both the physiology of the extracorporeal circulation and the mechanisms of peritoneal dialysis with regard to the most adequate access techniques, this is a unique resource for clinicians, investigators and researchers in the field of renal replacement therapy.
As the dialysis population grows, an expert medical resource on the percutaneous creation and maintenance of vascular access is much needed. This book fulfills exactly that need, engaging interventional radiologists, vascular surgeons, interventional nephrologists, and the medical support personnel serving these patients. Providing a clear understanding of best techniques and practices, the authors present an unbiased discussion of patient preparation, procedures, and new devices and equipment. Logically organized and concluding with a compelling collection of 15 noteworthy cases, the book is the culminating work of leading experts in their specialties. The first truly practical reference dedicated to this topic, Essentials of Percutaneous Dialysis Interventions extends across multiple medical specialties to address a global health problem. Easy to use, reader-friendly, and portable, experienced practitioners and trainees alike will find this book to be of daily value.
This updated volume covers the basic principles and practice of dialysis access management. To cover the latest trends and evidence from clinical trials, new chapters on the management of cephalic arch stenosis and swing zone stenosis, the role of drug eluting balloon in dialysis access interventions, the management of central vein stenosis, endovascular creation of AVF, and the management of steal syndrome have been included. Dialysis Access Management gives readers a step-by-step guide to endovascular interventions with special emphasis on the principles and rationale behind these approaches. This book is an essential text for residents, fellows, and physicians who are learning or practicing in dialysis, especially in the fields of nephrology, radiology, surgery, and vascular medicine.
From the authors of the bestselling Introduction to Health Care Management comes this compendium of 101 case studies that illustrate the challenges related to managing the healthcare services. Segmented by topic and setting, these cases span the full spectrum of issues that can arise in a variety of health care services settings. With a writing style that is lively and engaging, undergraduates in healthcare management, nursing, public administration, public health, gerontology, and allied health programs will find themselves absorbed in stories that bring to life the common issues encountered by healthcare managers every day. In addition, students in graduate programs will find the materials theory-based and thought provoking examples of real world scenarios. This book offers: • 101 cutting-edge cases written by experts in the field • Identification of primary and secondary settings for cases • Discussion questions for each case • Additional resources for students with each case • Teaching/learning methods such as role play
Vascular and Interventional Imaging in the Case Review series covers the latest minimally invasive techniques that have replaced major operations. Jennifer Gould, MD, Nael Saad, and Suresh Vedantham, MD present the details of the detection of blockages and abnormalities in veins and arteries, removal of common bile duct stones, postoperative abscess drainage, biopsies, delivery of drugs to specific sites, and more. As a title in the Case Review series, this book contains approximately 200 cases—organized by difficulty—and 400 images—20% new, with questions and answers, diagnoses, commentary, references, and cross-references to Vascular and Interventional Radiology: The Requisites. You’ll be able to understand the requirements of the exam and sharpen your ability to interpret cases. This reference eases the challenge of keeping pace and developing procedure-related judgment in this very clinical subspecialty of radiology. Presents material in a case review format with questions and answers to challenge your understanding in an interactive manner ideal for board review. Includes approximately 200 cases and 400 images, along with questions and answers, diagnoses, additional commentary, and references to fully prepare you for the exam. Covers clinical evaluation and procedure to highlight the importance of those aspects of interventional radiology. Provides cross-references to Vascular and Interventional Radiology—the companion volume in The Requisites series—so you can pursue more in-depth information on specific topics. Organizes the cases according to difficulty to make it easy for you to find and review what you find most challenging. Presents Dr. Jennifer Gould as the new primary editor and the fresh perspective of Nael Saad for authoritative guidance from rising stars in the field. Expands the existing information on Interventional Oncology, Non-Invasive Imaging, Spine Interventions, Thrombolysis, Endovenous Laser Ablation of Venous Varicosities, and Post Transplant Complications and their Treatment for the latest on these hot topics. Features additional decision-making cases and questions to provide you with more than just a factual understanding of treatment. Covers advances in the field through new cases on interventional radiology procedures. Includes twenty percent new and updated images to reflect state-of-the-art techniques through high-quality visuals.
This comprehensive reference on the fundamentals of hemodialysis access creation and advanced management for maintenance is designed to meet the needs of all surgeons and physicians responsible for the treatment and care of patients undergoing dialysis. The book opens by discussing every aspect of dialysis access planning, including selection of the right access for the individual patient and access strategies. Hemodialysis access techniques, from the most basic to the most complex and unconventional, are then described step by step, and guidance is provided on follow-up. Detailed attention is also devoted to the challenging management of specific complications of dialysis access surgery, including failing hemodialysis access. The book includes a wealth of informative, high-quality images and illustrations, and the authors are prominent vascular surgeons, transplant surgeons, general surgeons, nephrologists, and interventional radiologists from across the United States.