The creation and maintenance of effective and functioning vascular access together with successful management of its frequent complications cause still more close collaboration of different specialists engaged with the morbidity, hospitalization and treatment of patients with chronic kidney diseases (CKD). The organization of follow up, including adequate assessment and monitoring of clinical parameters of vascular access as well as the quality of dialysis should be unified in all dialysis centers. This proactive approach and care are expected to lower the incidence of thrombosis, infections and achieve good long term results. Imaging and functional testing methods are crucial for the duration of dialysis treatment and better quality of life for patients.
Collaboration between specialists nephrologists and other reference points (vascular surgeons, imaging specialists, general surgeons and therapists) underlies the modern algorithm for ECC treatment. Imaging and other functional, methods have a decisive significance for the duration of dyalisis treatment and the good quality of life of the patients. The collaboration between nephrologists and other specialists (vascular surgeons, image specialists, general surgeons and internists) is the basis for contemporary algorhythm for extracorporeal treatment.
Montreuil, B. , Staykova, Sv., Denchev - Vascular and peritoneal access for dialysis - TASC criteria : STENO Varna 2006
Andreev, A. Vascular Imaging Techniques. In: Vascular Diseases and Applied Vascular Surgery, Sofia, Znanie, 2007, 23-26.
Bleyer, A.J., L. Mason, et al. A randomized, controlled trial of a new vascular catheter flush solution (minocycline-EDTA) in temporary hemodialysis access. Infect Control Hosp Epidemiol. 2005, Jun: 26 (6): 520-4.
Blake, P.G., R.R. Quinn, M.J. Oliver. The risks of vascular access. Kidney Int, 2012, Sep:82 (6): 623-5.
Bleyer, A.J., L. Mason, et al. A randomized, controlled trial of a new vascular catheter flush solution (minocycline-EDTA) in temporary hemodialysis access. Infect Control Hosp Epidemiol. 2005, Jun: 26 (6): 520-4.
Brescia, M.J., J.E. Cimino, K. Appell, et al. Chronic hemodialysis using venipuncture and surgically created arteriovenous fistula. J. Am. Soc. Nephrol. 1966, 10, 193, 1999
Cueto-Manzano, A.M., E. Rojas-Campos. Status of renal replacement therapy and peritoneal dialysis in Mexico. Perit Dial Int. 2007, Mar-Apr; 27 (2): 142-8.
Haire, W.D., T.G. Lynch, R.P. Lieberman, et al. Duplex scans before subclavian vein catheterization predict unsuccessful catheter placement. Arch Surg, 1992, 127-129.
Laird, J.R. Limitation of PTA and stentingfor the treatment of Disease of the Superficial Femoral and Popliteal Arteries. J Endovasc Ther, 2006, 13, 30-40.
Mickley, V. Steal syndrome-strategies to preserve vascular access and extremity. Nephrol. Dial, Transplant., 23, 2008, No. 1, 19-24.
Montreuil,B.Vascular and Peritoneal Access - Introduction, ACS Surgery Online.2002: WebMD Inc.
National Kidney Foundation DOQI: Clinical Practice Guidelines for Hemodialysis Vascular Access. Am J Kidney Dis 30 (suppl 3) 1997
Pirozzi, N., J. Scrivano, L. Pettorini, et al. Preventive hemostasis for hemodialysis vascular access surgical reinterventions. J Vasc Access. 2012, Sep, 13
Samama, C., et al. Venous thromboembolism prevention in surgery and obstetrics: clinical practice guidelines. European Journal of anesthesiology, 23, 2006, 95-116.
Scheltinga, M., F. Van Hoek, c. Bruyninckx. Surgical banding for refractory hemodialysis access-induced distal ischemia (HAIDI). J. Vasc. Access, 10, 2009, 43-49.
Walters, B.A.J., P. Pennell, J.P. Bosch. Hemodialysis Vascular Access and Peritoneal Dialysis Access. Quality Assurance and Continours Quality Improvement Programs for Vascular Access Care. Ronco, C., N.W. Levin (eds): Hemodialysis Vascular Access and Peritoneal Dialysis Access. Contrib Nephrol. Basel, Karger, 2004, vol. 142, pp 323-249.
Zamani, P., J. Kaufman, S. Kinlay. Ischemic steal syndrome following arm arteriovenous fistula for hemodialysis. Vasc. Med., 14, 2009, No. 4, 371-376.
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