Dialysis Access: A Multidisciplinary Approach / Edition 1

Dialysis Access: A Multidisciplinary Approach / Edition 1

by Richard J. Gray
     
 

ISBN-10: 0781731003

ISBN-13: 9780781731003

Pub. Date: 07/28/2002

Publisher: Lippincott Williams & Wilkins


Dialysis Access: A Multidisciplinary Approach gives radiologists, nephrologists, and surgeons the complete knowledge base they need to deliver effective, coordinated care to dialysis patients with vascular access needs. This practical guide explains how to implement the National Kidney Foundation's Dialysis Outcomes Quality Initiative (DOQI) guidelines…  See more details below

Overview


Dialysis Access: A Multidisciplinary Approach gives radiologists, nephrologists, and surgeons the complete knowledge base they need to deliver effective, coordinated care to dialysis patients with vascular access needs. This practical guide explains how to implement the National Kidney Foundation's Dialysis Outcomes Quality Initiative (DOQI) guidelines for vascular access and details procedures for creating vascular access...monitoring access failure...treating blocked access...and inserting and using central and peritoneal dialysis catheters. The state-of-the-art coverage includes discussions on pharmacologic interventions to prevent access failure and innovative concepts such as outpatient vascular access centers and new catheter designs.

Dr. Gray is the lead author for the Society of Cardiovascular and Interventional Radiology (SCVIR)'s Dialysis Access Reporting Standards. International contributors are expert interventional radiologists, nephrologists, and vascular access surgeons. Dialysis Access: A Multidisciplinary Approach fully integrates these specialties' perspectives, providing the insight needed for optimum management of problems and offering an effective blueprint for working in concert with other specialists.

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Product Details

ISBN-13:
9780781731003
Publisher:
Lippincott Williams & Wilkins
Publication date:
07/28/2002
Edition description:
New Edition
Pages:
416
Product dimensions:
8.60(w) x 11.20(h) x 0.90(d)

Table of Contents

Contributing Authors
Preface
Acknowledgment
1National Kidney Foundation's Dialysis Outcomes Quality Initiative: Goals and General Principles3
2Implementing a Vascular Access Program: Improved Outcomes with Multidisciplinary Approaches6
3Dialysis Outcomes Quality Initiative Implementation: The Washington University School of Medicine Experience10
4Trends in Vascular Access Procedures and Expenditures in Medicare's End-Stage Renal Disease Program17
5Early Referral for Vascular Access25
6Physiologic Principles of Hemodialysis31
7Is Quantitative Measurement of Dialysis Adequacy a Useful Outcome Measure?38
8Pathophysiology of Arteriovenous Graft Failure46
9Management of Bleeding and Clotting Disorders in Dialysis Patients52
10Preoperative Ultrasonography65
11Venography before Angioaccess Creation67
12New Nomenclature for Arteriovenous Hemodialysis Accesses74
13Techniques and Outcomes after Polytetrafluoroethylene Graft Creation78
14Techniques and Outcomes after Brachiocephalic and Brachiobasilic Arteriovenous Fistula Creation84
15Overview of Complications and Management after Vascular Access Creation93
16Management of Hemodialysis Vascular Access Infections98
17Vascular Access Surveillance: An Overview109
18Physical Examination: The Forgotten Tool111
19Role of Access Flow Measurement119
20Doppler Ultrasound and Hemodialysis Access Management133
21Pressure Measurements in the Surveillance of Vascular Accesses
22Prophylactic Angioplasty: Is It Worthwhile?
APro Viewpoint153
BCon Viewpoint157
23Endovascular Interventions: Fistulography, Angioplasty, and Stents161
24Diagnosis and Endovascular Treatment for Autologous Fistulae-related Stenoses170
25Central Vein Lesions: Prevention and Management184
26Pharmacologic Thrombolysis for Dialysis Grafts199
27Mechanical Thrombectomy Techniques and Devices205
28Surgical Thrombectomy and Revision: Polytetrafluoroethylene Grafts215
29Salvage of the Thrombosed Dialysis Access Graft: Surgical versus Radiologic Methods. Does It Matter?221
30Endovascular Treatment of Thrombosed Autologous Fistulae229
31Surgical Management of Autologous Fistulae: Early and Late Thrombosis, Maturation Failure, and Other Complications242
32The Use of Catheters for Hemodialysis: Overview253
33Catheter Insertion: Techniques, Cost, and Outcomes261
34Exotic Catheter Access270
35Management of the Infected Catheter283
36Management of Catheter Malfunction290
37Principles of Peritoneal Dialysis: Physiology, Patient Selection, and Catheter Maintenance303
38Techniques of Peritoneal Catheter Insertion310
39Percutaneous Radiologic Placement and Management of Peritoneal Dialysis Catheters: Technique and Results322
40Vascular Access Centers: An Innovative Approach for Vascular Access Care333
41Pharmacologic Approaches to Preventing Hemodialysis Access Failure341
42Physical and Biologic Considerations for Hemodialysis Catheters (Biofilm, Locks, and Ports)353
43Endoluminal Grafts363
44Vascular Brachytherapy371
Subject Index383

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