Primary Vascular Access

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The long-term survival and quality of life of patients on haemodialysis is dependent on the adequacy of dialysis via an appropriately placed vascular access. The native arteriovenous fistula at the wrist is generally accepted as the vascular access of choice in haemodialysis patients due to its low complication and high patency rates. It has been shown beyond doubt that an optimally functioning...

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CHAPTER 1 Vascular Access

Challenges 2 Femoral Approach 2 Standard of Technical Excellence 2 Technique The fl uoroscopically guided micropuncture access 3 Technical Tips 4 * * Angiography to check the location of femoral entry through a dilator 4 Preparations in obese patients 4 * Directing the needle 4 * If the wire cannot be inserted 5 * Sequential order for arterial and venous puncture 5 * * Kinked wire 5 * * Punctur...

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This review examines four imaging modalities; ultrasound (US), digital subtraction angiography (DSA), magnetic resonance imaging (MRI) and computed tomography (CT), that have common or potential applications in vascular access (VA). The four modalities are reviewed under their primary uses, techniques, advantages and disadvantages, and future directions that are specific to VA. Currently, US is...

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ژورنال

عنوان ژورنال: European Journal of Vascular and Endovascular Surgery

سال: 2006

ISSN: 1078-5884

DOI: 10.1016/j.ejvs.2005.10.006