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This book offers a comprehensive overview of up-to-date knowledge on vascular access surgery. Written by a senior author with more than 30 years of experience and by expert contributors, it covers both surgical and theoretical aspects. The author shares his expertise in a hands-on approach and presents his views on the difficulties that every clinician may encounter. The various options for vascular access creation are carefully reviewed. Detailed descriptions and numerous accompanying illustrations of AV fistulas, AV prosthetic grafts, and arterio arterial grafts are provided, and a chapter is also devoted to the use of central venous catheters. Potential complications and their management are explained, and advice is offered on how to deal with special patient groups requiring extra attention. Separate chapters on fluid dynamics (drawing on the author’s own research) and vascular pathology cater for the needs of those with a particular interest in the pathophysiological principles.
This practical and comprehensive book provides "how-to" information on all aspects of access to the vascular system for hemodialysis, parenteral nutrition, chemotherapy, and resuscitation. Preoperative evaluation, operations, noninvasive procedures, complications, and other aspects are detailed. This edition provides increased coverage of non-interventional techniques and includes new chapters on management of thrombophilia in hemodialysis patients; modulation of the immune system to prevent myointimal hyperplasia; synthetic grafts; venous outflow stenting for salvage of vascular access procedures; and ultrasound in vascular access procedures. This book is essential for all clinicians treating patients who require vascular access, including vascular surgeons, general surgeons, nephrologists, dialysis technicians and nurses, radiologists, and cardiologists.
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. 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
Not only are dialysis access creation and maintenance prone to complications, but patients suffering from end-stage renal disease and its comorbidities generally have a high risk of adverse events during their continuous treatment. Preventive strategies are key to avoid harm and to improve the outcome of the treatment of the growing number of patients with chronic kidney failure, especially as doctors and nurses are not always aware of the consequences of unsafe behavior. This publication is intended for health care professionals – nurses as well as doctors – and aims to raise the awareness of patient safety aspects, combining medical education with evidence-based medicine. After a general overview of the topic, an international panel of authors provides a diversified insight into important concepts and technical tricks essential to create and maintain a functional dialysis access.
Interventional Nephrology: Principles and Practice describes a very direct approach to clinical problems encountered by the community of care providers who treat chronic kidney disease and dialysis patients. Practical scenarios faced on a day-to-day basis are presented by experts in the field utilizing the latest scientific information. In addition to internal medicine residents, nephrology fellows and practitioners, this comprehensive and useful resource is a must-have for the allied health professionals taking care of patients with hemodialysis and peritoneal dialysis access problems.
Major advances in both the technology and the medical knowledge of maintenance hemodialysis have been made since the early stages of such treatment in the 60s. Hemodialysis is now an established therapeutic method. and the time has come to present an up-to-date approach to all its technical and medical aspects. We adopted a simple and concise style with a clear design and a large number of tables and illustrations. so that not only health professionals but patients themselves can easily understand the essentials of hemodialysis. In addition to the most recent technical developments of hemodialysis. particular attention is given to biocompatibility. adequacy of dialysis and patient nutrition. The many clinical problems encountered in the dialysis patient have been especially emphasized. since proper management may prevent most uremia-related complications. Indeed. chronic hemodialysis consists not only of providing the patient with safe and well-tolerated dialysis sessions but also of maintaining good general condition, adequate nutritional status and well-being in the long term. All of us have worked in the field of nephrology and hemodialysis at Necker Hospital for more than 25 years, and several of our very first patients are still enjoying life thanks to hemodialysis. We hope that our experience will be of help to nephrologists. renal nurses and technicians in training so that they can offer their patients, through optimal dialysis, long survival with the best possible quality of life and rehabilitation.

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