Lower Extremity Permanent Dialysis Vascular Access
نویسندگان
چکیده
منابع مشابه
Lower Extremity Permanent Dialysis Vascular Access.
Hemodialysis remains the most commonly used RRT option around the world. Technological advances, superior access to care, and better quality of care have led to overall improvement in survival of patients on long-term hemodialysis. Maintaining a functioning upper extremity vascular access for a prolonged duration continues to remain a challenge for dialysis providers. Frequently encountered dif...
متن کاملNovel paradigms for dialysis vascular access: upstream hemodynamics and vascular remodeling in dialysis access stenosis.
Failure of hemodialysis access is caused mostly by venous intimal hyperplasia, a fibro-muscular thickening of the vessel wall. The pathogenesis of venous neointimal hyperplasia in primary arteriovenous fistulae consists of processes that have been identified as upstream and downstream events. Upstream events are the initial events producing injury of the endothelial layer (surgical trauma, hemo...
متن کاملThe function of permanent vascular access.
BACKGROUND Complications arising from vascular access (VA) are major causes of morbidity in patients on renal replacement therapy (RRT). They contribute to frustration of health care providers and to high medical cost. To prevent failures in the future it will be helpful to identify the factors that are related to VA malfunction. METHODS In a retrospective analysis we analysed the types, dura...
متن کاملEndovascular Techniques for Dialysis Vascular Access
A nephrologist is well equipped to understand and manage the complexities involved in educating and preparing a patient with chronic kidney disease to embrace the challenges involved with renal replacement therapy. The importance of vascular access in providing adequate dialysis therapy cannot be overemphasized. Unfortunately, it remains a weak link in providing optimal care and a major cause o...
متن کاملNew Insights into Dialysis Vascular Access: Introduction.
Optimizing vascular access outcomes continues to pose a tremendous challenge to nephrologists, surgeons, and radiologists who provide medical care to patients on hemodialysis. There is a huge discrepancy between the optimal vascular access outcome proposed by national guidelines (1) and the reality. Thus, for example, whereas the guidelines suggest that most patients should initiate hemodialysi...
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ژورنال
عنوان ژورنال: Clinical Journal of the American Society of Nephrology
سال: 2016
ISSN: 1555-9041,1555-905X
DOI: 10.2215/cjn.01780216