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
Section One: Dialysis Outcomes Quality Initiative for Vascular Access1.DOQI: Goals and General Principles2. Implementing a Vascular Access Program:Improved Outcomes with Multidisciplinary Approaches3.DOQI Implementation: The Washington University School of Medicine Experience4.Trends in Vascular Access Procedures and Expenditures in Medicare?s ESRD Program5.Early Referral for Vascular Access Section Two: Physiology of Hemodialysis6.Physiologic Principles of Hemodialysis7.Is Quantitative Measurement of Dialysis: Adequacy a Useful Outcome Measure? 8.Pathophysiology of Arteriovenous: Graft Failure 9.Management of Bleeding and Clotting: Disorders in Dialysis Patients Section Three: Hemodialysis Access Creation10.Preoperative Ultrasonography11.Venography before Angioaccess Creation12.New Nomenclature for Arterio-Venous Hemodialysis Accesses13.Techniques and Outcomes After PTFE Graft Creation 14.Techniques and Outcomes After Brachiocephalic and Brachiobasilic Arteriovenous Fistula Creation15.Overview of Complications and Management After Vascular Access Creation16.Management of the Infected Dialysis Access Section Four: Monitoring for Hemodialysis Access Failure17. Vascular Access Surveillance: An Overview18.Physical Examination: The Forgotten Tool19.Role of Access Flow Measurement20.Doppler Ultrasound and Hemodialysis Access Management21.Pressure Measurements in the Surveillance of Vascular Accesses Section Five: Treatment for Access Dysfunction22.Prophylactic Angioplasty: Is It Worthwhile? Pro Viewpoint Con Viewpoint23.Endovascular Interventions: Fistulography,Angioplasty and Stents24.Diagnosis and Endovascular Treatment for Autologous Fistulae-Related Stenoses25.Central Vein Stenoses: Prevention and Management Section Six: Treatment of the Thrombosed Access26.Pharmacologic Thrombolysis for Dialysis Grafts 27.Mechanical Thrombectomy Techniques and Devices28.Surgical Thrombectomy and Revision: PTFE Grafts 29.Salvage of the Thrombosed Dialysis Access Graft:Surgical versus Radiologic Methods: Does It Matter? 30.Endovascular Treatment of Thrombosed Autologous Fistulae 31.Surgical Management of Autologous Fistulae: Early and Late Thrombosis, Maturation Failure, and Other Complications Section Seven: Central Dialysis Catheters32.The Use of Catheters for Hemodialysis: Overview 33.Catheter Insertion: Techniques, Cost and Outcomes 34. Exotic Catheter Access35.Management of the Infected Catheter36.Management of Catheter Malfunction Section Eight: Peritoneal Dialysis37.Principles of Peritoneal Dialysis Physiology, Patient Selection, Maintenance38.Techniques of Peritoneal Catheter Insertion39. Percutaneous Radiologic Placement and Management of Peritoneal Catheters Section Nine: Current Innovative Concepts40.Vascular Access Centers: An Innovative Approach for Vascular Access Care41. Pharmacologal Approaches to Preventing Hemodi