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.

Vascular Access 5th editioinprovides 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.

Contents

Section I: General Principles of Vascular Access

1. Development of Vascular Access Surgery
2. Patient Assessment and Planning for Vascular Access Surgery
3. Anesthesia for Vascular Access Surgery
4. Surgical Anatomy for Hemodialysis Access
5. Physiology of the Arteriovenous Fistula
6. Thrombophilia as a Cause of Recurrent Vascular Access Thrombosis in Hemodialysis Patients
7. Biologic Properties of Venous Access Devices
8. Biologic Response to Prosthetic Dialysis Grafts
9. Strategies to Reduce Intimal Hyperplasia in Dialysis Access Grafts

Section II: Vascular Access for Hemodialysis

10. Epidemiology and Pathophysiology of Chronic Renal Failure and Guidelines for Initiation of Hemodialysis
11. Autologous Arteriovenous Fistulas: Direct Radiocephalic Anastomosis for Hemodialysis Access
12. Autogenous Vein for Fistulas and Interposition Grafts
13. Basilic Vein Transposition: A Modern Autogenous Vascular Access for Hemodialysis
14. Interposition Arteriovenous Grafts (Bridge Fistulas) for Hemodialysis
15. New Synthetic Grafts and Early Access
16. Central Venous Cannulation for Hemodialysis Access
17. Access in the Neonatal and Pediatric Patient
18. Surveillance, Revision, and Outcome of Vascular Access Procedures for Hemodialysis
19. Endovascular Management of Dialysis Graft Stenosis
20. Axillosubclavian Vein Thrombosis
21. Complications of Vascular Access: Thrombosis, Venous Hypertension, Congestive Heart Failure, Neuropathy, and Aneurysm
22. Dialysis Access-Associated Ischemic Steal Syndrome
23. Vascular Access Neuropathic Syndrome: Ischemic Monomelic Neuropathy
24. Infection in Vascular Access Procedures
25. Assessment and Intervention for Arteriovenous Fistula Maturation
26. Coordination and Patient Care in Vascular Access
27. Cardiovascular Consequences of Rapid Hemodialysis
28. Peritoneal Dialysis
29. Socioeconomic Implications of Vascular Access Surgery
30. Ultrasound in Vascular Access

Section III: Results of Vascular Access for Hemodialysis

31. Reflections on Four Decades of Experience in Vascular Access Surgery
32. Organizing Hemodialysis Access: The Kaiser Permanente Southern California Experience
33. Should the KDOQI Guidelines for First Time Dialysis Access Apply to All Patients?
34. Ten Mistakes to Avoid in Dialysis Access Surgery

Section IV: Vascular Access for Critical Care, Chemotherapy, and Nutrition

35. Placement of Indwelling Venous Access Systems
36. Vascular Access for Trauma, Emergency Surgery, and Critical Care
37. Complications of Percutaneous Vascular Access Procedures and Their Management

Index

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