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Hemodialysis Access Creation and Maintenance

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Vascular Surgery

Part of the book series: New Techniques in Surgery Series ((NEWTECHN,volume 6))

Abstract

Approximately 350,000 Americans with end-stage renal disease receive hemodialysis therapy with annual Medicare costs over $23 billion.

Individuals with an arterial venous fistula (AVF) have lower mortality, morbidity, and costs when compared to patients with central catheters and grafts. AVF rates have increased dramatically over the last several years. Ultrasound evaluation is important for both preoperative access planning and in postoperative management. Vascular access options and techniques have expanded significantly. Endovascular techniques for access maturation and maintenance have become established as the preferred method of intervention when necessary.

This chapter reviews the many established and new options for hemodialysis vascular access in addition to the diagnosis and treatment of associated complications and issues of long-term maintenance.

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Authors and Affiliations

  1. Department of Surgery, University of Oklahoma College of Medicine, Tulsa, 4502 E. 41st Street, Tulsa, OK, 74135, USA

    William C. Jennings M.D., FACS

  2. Department of Surgery, University of California, Irvine, 101 The City Drive South, Pavilion III, Orange, CA, 92868-3298, USA

    Sidney M. Glazer M.D., FACS

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  1. William C. Jennings M.D., FACS
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  2. Sidney M. Glazer M.D., FACS
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Correspondence to William C. Jennings M.D., FACS .

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Editors and Affiliations

  1. Medical Center, Department of Surgery, American University of Beirut, Cairo Street, Beirut, Lebanon

    Jamal J. Hoballah

  2. Methodist DeBakey Heart &, Vascular Center, The Methodist Hospital, 6550 Fannin Street, Houston, 77030, Texas, USA

    Alan B. Lumsden

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Jennings, W.C., Glazer, S.M. (2012). Hemodialysis Access Creation and Maintenance. In: Hoballah, J., Lumsden, A. (eds) Vascular Surgery. New Techniques in Surgery Series, vol 6. Springer, London. https://doi.org/10.1007/978-1-4471-2912-7_21

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