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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.
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.
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.
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
​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.
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.
Vascular surgery and anaesthesia have changed considerably in recent years and have become recognised sub-specialties, while non-specialist anaesthetists continue to provide much of the care for emergency vascular surgical patients. Core Topics in Vascular Anaesthesia brings together the clinical expertise of global leaders in the field in a comprehensive review of contemporary practice. Core Topics in Vascular Anaesthesia is essential reading for anaesthetists, intensive care physicians and vascular surgeons.

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