Dialysis Access: A Multidisciplinary Approach / Edition 1

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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.

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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Editorial Reviews

Doody's Review Service
Reviewer: B. Peter E. Sawaya, MD (University of Kentucky College of Medicine)
Description: This book provides in-depth review of both hemodialysis and peritoneal dialysis access issues that include creation, use, monitoring, and management of access failure.
Purpose: The purpose is to provide a complete, up-to-date discussion of dialysis access-related issues. Dialysis access failure and complications are major problems facing patients in the End Stage Renal Disease (ESRD) program. In the U.S., dialysis access issues account for the majority of cost and morbidity for ESRD patients. This book provides a comprehensive central source of information on dialysis vascular and peritoneal access. It includes in-depth review of the data supporting current access management practices. The objectives are fully met by the authors.
Audience: The book is written primarily for nephrologists, vascular surgeons, and their respective trainees. It can also be used as a reference source for the numerous health professionals involved in vascular access management at all levels of expertise. Over 60 authors, all experts in their field, contributed to this book.
Features: This book covers the physiology, creation, monitoring, and management of dysfunctional and failed accesses. The authors have done an extensive review of the literature and have created an excellent evidence-based reference book on dialysis access. The figures are of high quality and are an equal mix of charts, graphs, pictures, and actual angiograms. This helps the reader gain an understanding of some complicated concepts. A unique and excellent part of the book is designated for current innovative concepts.
Assessment: This is an excellent book. It is rather comprehensive and has great clinical applicability. It is written in a superb and easy-flowing fashion. It is a must book to have for all clinicians caring for dialysis patients. It should also be made available as a reference in the dialysis units. To my knowledge, this is a unique book solely devoted to dialysis access.
From The Critics
This text for health professionals and trainees involved in vascular access management provides coverage of the issues and data supporting current practices in the field. The 44 contributions, written by the specialists who performed the original research, represent all forms of dialysis and cover topics including dialysis outcomes quality initiative for vascular access, physiology of hemodialysis, hemodialysis access creation, monitoring for access failure, treatment for access dysfunction and of the thrombosed access, central dialysis catheters, peritoneal dialysis, and current innovative concepts. Illustrated with b&w images. Edited by Gray (interventional radiology, Washington Hospital Center) and Sands (vascular access programs, Fresenius Medical Care, NA). Annotation c. Book News, Inc., Portland, OR

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780781731003
  • Publisher: Lippincott Williams & Wilkins
  • Publication date: 7/28/2002
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 416
  • Product dimensions: 8.60 (w) x 11.20 (h) x 0.90 (d)

Table of Contents

Contributing Authors
Preface
Acknowledgment
1 National Kidney Foundation's Dialysis Outcomes Quality Initiative: Goals and General Principles 3
2 Implementing a Vascular Access Program: Improved Outcomes with Multidisciplinary Approaches 6
3 Dialysis Outcomes Quality Initiative Implementation: The Washington University School of Medicine Experience 10
4 Trends in Vascular Access Procedures and Expenditures in Medicare's End-Stage Renal Disease Program 17
5 Early Referral for Vascular Access 25
6 Physiologic Principles of Hemodialysis 31
7 Is Quantitative Measurement of Dialysis Adequacy a Useful Outcome Measure? 38
8 Pathophysiology of Arteriovenous Graft Failure 46
9 Management of Bleeding and Clotting Disorders in Dialysis Patients 52
10 Preoperative Ultrasonography 65
11 Venography before Angioaccess Creation 67
12 New Nomenclature for Arteriovenous Hemodialysis Accesses 74
13 Techniques and Outcomes after Polytetrafluoroethylene Graft Creation 78
14 Techniques and Outcomes after Brachiocephalic and Brachiobasilic Arteriovenous Fistula Creation 84
15 Overview of Complications and Management after Vascular Access Creation 93
16 Management of Hemodialysis Vascular Access Infections 98
17 Vascular Access Surveillance: An Overview 109
18 Physical Examination: The Forgotten Tool 111
19 Role of Access Flow Measurement 119
20 Doppler Ultrasound and Hemodialysis Access Management 133
21 Pressure Measurements in the Surveillance of Vascular Accesses
22 Prophylactic Angioplasty: Is It Worthwhile?
A Pro Viewpoint 153
B Con Viewpoint 157
23 Endovascular Interventions: Fistulography, Angioplasty, and Stents 161
24 Diagnosis and Endovascular Treatment for Autologous Fistulae-related Stenoses 170
25 Central Vein Lesions: Prevention and Management 184
26 Pharmacologic Thrombolysis for Dialysis Grafts 199
27 Mechanical Thrombectomy Techniques and Devices 205
28 Surgical Thrombectomy and Revision: Polytetrafluoroethylene Grafts 215
29 Salvage of the Thrombosed Dialysis Access Graft: Surgical versus Radiologic Methods. Does It Matter? 221
30 Endovascular Treatment of Thrombosed Autologous Fistulae 229
31 Surgical Management of Autologous Fistulae: Early and Late Thrombosis, Maturation Failure, and Other Complications 242
32 The Use of Catheters for Hemodialysis: Overview 253
33 Catheter Insertion: Techniques, Cost, and Outcomes 261
34 Exotic Catheter Access 270
35 Management of the Infected Catheter 283
36 Management of Catheter Malfunction 290
37 Principles of Peritoneal Dialysis: Physiology, Patient Selection, and Catheter Maintenance 303
38 Techniques of Peritoneal Catheter Insertion 310
39 Percutaneous Radiologic Placement and Management of Peritoneal Dialysis Catheters: Technique and Results 322
40 Vascular Access Centers: An Innovative Approach for Vascular Access Care 333
41 Pharmacologic Approaches to Preventing Hemodialysis Access Failure 341
42 Physical and Biologic Considerations for Hemodialysis Catheters (Biofilm, Locks, and Ports) 353
43 Endoluminal Grafts 363
44 Vascular Brachytherapy 371
Subject Index 383
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