- Describes the full range of hemodialysis access techniques step by step
- Offers detailed advice on follow-up and management of complications
- Meets the needs of vascular, general, and transplant surgeons in both academic and community settings
Includes a wealth of high-quality images and illustrations
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.
Table of ContentsDialysis access planning:
- Timing of hemodialysis access creation
- Preoperative considerations and noninvasive evaluation
- Strategies of arteriovenous dialysis access
- Peri-procedural and peri-operative considerations
- Pediatric hemodialysis access considerations
Hemodialysis access techniques:
- Dialysis access catheters (includes placement technique, tips and tricks)
- Direct anastomosis cephalic vein hemodialysis access
- Forearm Cephalic vein Transposition
- Basilic vein Transposition
- Hemodialysis grafts
- Alternative hemodialysis conduits
- Lower extremity hemodialysis access
- Unconventional vascular access procedures
- The Hero Device
Hemodialysis access follow-up:
- Management of new access from PACU to first-time use
- The immature fistula
- Duplex examination of the hemodialysis access
- Outpatient surveillance at the dialysis center
- The Natural history of hemodialysis access
Hemodialysis access complications:
- Understanding Intimal hyperplasia biology in hemodialysis access
- Hemodialysis access with complications from the nephrologist’s perspective
The failing hemodialysis access:
- The physical exam
- Hemodialysis access percutaneous interventions
- Hemodialysis access outflow vein stenosis (including cephalic arch stenosis)
- Central venous Stenosis and occlusion
- Arterial inflow stenosis
- Hemodialysis access-related aneurysms
- The infected hemodialysis access
- The thrombosed hemodialysis access
- Poor hemodialysis access recirculation
- Hand ischemia and neuropathy
- Hemodynamic complications of hemodialysis access
Hemodialysis alternatives:
- Renal transplant referral and criteria
- Peritoneal dialysis
Miscellaneous topics:
- Current state of hemodialysis access and dialysis access initiatives
- Understanding the hemodialysis machine
- Current Hemodialysis techniques
- Hemodialysis Access Outcomes Assessment
- The outpatient dialysis access center
- Coding and billing for hemodialysis access procedures
