Nephrology book from C.H.I.P.S.

Dialysis Access
A Multidisciplinary Approach
edited by Richard J. Gray

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.

Dialysis Access also includes discussions on pharmacologic interventions to prevent access failure and innovative concepts such as outpatient vascular access centers and new catheter designs.


Dialysis Outcomes Quality Initiative for Vascular Access

  1. DOQI: Goals and General Principles
  2. Implementing a Vascular Access Program:Improved Outcomes with Multidisciplinary Approaches
  3. DOQI Implementation: The Washington University School of Medicine Experience
  4. Trends in Vascular Access Procedures and Expenditures in Medicare’s ESRD Program
  5. Early Referral for Vascular Access

Physiology of Hemodialysis

  1. Physiologic Principles of Hemodialysis
  2. Is Quantitative Measurement of Dialysis: Adequacy a Useful Outcome Measure?
  3. Pathophysiology of Arteriovenous: Graft Failure
  4. Management of Bleeding and Clotting: Disorders in Dialysis Patients

Hemodialysis Access Creation

  1. Preoperative Ultrasonography
  2. Venography before Angioaccess Creation
  3. New Nomenclature for Arterio-Venous Hemodialysis Accesses
  4. Techniques and Outcomes After PTFE Graft Creation
  5. Techniques and Outcomes After Brachiocephalic and Brachiobasilic Arteriovenous Fistula Creation
  6. Overview of Complications and Management After Vascular Access Creation
  7. Management of the Infected Dialysis Access

Monitoring for Hemodialysis Access Failure

  1. Vascular Access Surveillance: An Overview
  2. Physical Examination: The Forgotten Tool
  3. Role of Access Flow Measurement
  4. Doppler Ultrasound and Hemodialysis Access Management
  5. Pressure Measurements in the Surveillance of Vascular Accesses

Treatment for Access Dysfunction

  1. Prophylactic Angioplasty: Is It Worthwhile?
  2. Endovascular Interventions: Fistulography,Angioplasty and Stents
  3. Diagnosis and Endovascular Treatment for Autologous Fistulae-Related Stenoses
  4. Central Vein Stenoses: Prevention and Management

Treatment of the Thrombosed Access

  1. Pharmacologic Thrombolysis for Dialysis Grafts
  2. Mechanical Thrombectomy Techniques and Devices
  3. Surgical Thrombectomy and Revision: PTFE Grafts
  4. Salvage of the Thrombosed Dialysis Access Graft: Surgical versus Radiologic Methods: Does It Matter?
  5. Endovascular Treatment of Thrombosed Autologous Fistulae
  6. Surgical Management of Autologous Fistulae: Early and Late Thrombosis, Maturation Failure, and Other Complications

Central Dialysis Catheters

  1. The Use of Catheters for Hemodialysis: Overview
  2. Catheter Insertion: Techniques, Cost and Outcomes
  3. Exotic Catheter Access
  4. Management of the Infected Catheter
  5. Management of Catheter Malfunction

Peritoneal Dialysis

  1. Principles of Peritoneal Dialysis Physiology, Patient Selection, Maintenance
  2. Techniques of Peritoneal Catheter Insertion
  3. Percutaneous Radiologic Placement and Management of Peritoneal Catheters

Current Innovative Concepts

  1. Vascular Access Centers: An Innovative Approach for Vascular Access Care
  2. Pharmacologal Approaches to Preventing Hemodialysis Access Failure
  3. Physical and Biologic Considerations for Hemodialysis Catheters (Biofilm, Locks, Ports)
  4. Endoluminal Grafts
  5. Peripheral Vascular Brachytherapy


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Dialysis Access
A Multidisciplinary Approach
edited by Richard J. Gray

2002 • 416 pages • $128.00 + shipping
Texas residents please add 6.75 % sales tax

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