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The Thrombosed Hemodialysis Access

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Hemodialysis Access

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Abstract

Vascular access is a lifeline for end-stage renal disease patients. The National Kidney Foundation-Kidney Dialysis Outcomes Quality Initiative (NKF-KDOQI) published practice guidelines that recommend all patients with stage IV or stage V chronic kidney disease to undergo fistula creation [1]. The guidelines also included an order of preference for AV access procedures in order to preserve viable access sites. The recommendations are based on autogenous fistulas having a superior patency than prosthetic grafts and tunneled catheters, as well as fewer complications and repeat interventions. Despite these recommendations, dialysis access fails and re-intervention is needed [2, 3]. While there are often signs that an access is failing, there are many options for both avoiding and treating the access failure as it occurs.

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Authors and Affiliations

  1. Division of Vascular Surgery, University of Cincinnati College of Medicine, 231 Albert Sabin Way, ML 0558, Cincinnati, OH, 45267, USA

    Edward Caldwell DO & George H. Meier MD

Authors
  1. Edward Caldwell DO
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  2. George H. Meier MD
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Correspondence to George H. Meier MD .

Editor information

Editors and Affiliations

  1. Division of Vascular Surgery, Department of Surgery The University of Washington, Seattle, Washington, USA

    Sherene Shalhub

  2. Department of Surgery, Medical College of Wisconsin, Brookfield, Wisconsin, USA

    Anahita Dua

  3. Division of Vascular Surgery, Department of Surgery The University of Washington, Seattle, Washington, USA

    Susanna Shin

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Caldwell, E., Meier, G.H. (2017). The Thrombosed Hemodialysis Access. In: Shalhub, S., Dua, A., Shin, S. (eds) Hemodialysis Access. Springer, Cham. https://doi.org/10.1007/978-3-319-40061-7_35

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  • DOI: https://doi.org/10.1007/978-3-319-40061-7_35

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-40059-4

  • Online ISBN: 978-3-319-40061-7

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