Reviewer: Vikrom Sottiurai, M.D., Ph.D.(Advocate Medical Group)
Description: Careful categorization of the complex problems associated with vascular access for dialysis in end stage renal disease (ESRD) plus addressing the attendant issues related to the diagnosis and management of ESRD highlight the value of this book.
Purpose: The purpose is to provide a pocket-sized reference to assist in addressing questions encountered in caring for renal dialysis patients and the complications of dialysis access.
Audience: Recommendations on the preference of vascular access construction based on gender, age, and anatomic considerations and hemodynamics of the existing vascular conditions in patients are sound and informative. How to address complex and complicated de novo or failed vascular access as well as the order of preference in access selection reflect the wealth of knowledge of the authors on the subject.
Features: Each chapter is written comprehensively with frequent summaries in order to capture the essence of the topic. Pertinent and current references are provided. A summary of the global data on the geographical and regional differences and preferences in vascular access selection provides a perspective on the complexity of the subject and the need of a uniform, if not universal, consensus on the issue.
Assessment: This book has earned its place as an easy to use handbook on the subject and has fulfilled its goal of using a simple approach to address a complex problem. Future editions would be enhanced by the inclusion of comments on 1) central vein stenting versus bypass in durability and longevity related to the histocytologic reaction to stenting and 2) lateral exclusion of aneurysms in AVF to preserve and maintain function and continuity.