Vascular access should be tailored to the patient.

Autor: Letachowicz K; Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Borowska 213, 50-556 Wroclaw, Poland. Electronic address: krzysztof.letachowicz@umed.wroc.pl., Szyber P; Department of Vascular, General and Transplantation Surgery, Wroclaw Medical University, Borowska 213, 50-556 Wroclaw, Poland., Gołębiowski T; Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Borowska 213, 50-556 Wroclaw, Poland., Kusztal M; Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Borowska 213, 50-556 Wroclaw, Poland., Letachowicz W; Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Borowska 213, 50-556 Wroclaw, Poland., Weyde W; Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Borowska 213, 50-556 Wroclaw, Poland., Garcarek J; Department of Radiology, Wroclaw Medical University, Borowska 213, 50-556 Wroclaw, Poland., Klinger M; Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Borowska 213, 50-556 Wroclaw, Poland.
Jazyk: angličtina
Zdroj: Seminars in vascular surgery [Semin Vasc Surg] 2016 Dec; Vol. 29 (4), pp. 146-152. Date of Electronic Publication: 2016 Nov 05.
DOI: 10.1053/j.semvascsurg.2016.11.003
Abstrakt: A cornerstone of hemodialysis treatment is the creation of a functional and durable dialysis vascular access. Every patient with chronic kidney disease should have a plan of renal replacement therapy and access site protection. Factors having a crucial impact on vascular access selection include age, comorbidity, vessel quality, prognosis, dialysis urgency, and surgeon's preferences. Our medical group have reviewed these factors in our patients and, based on recently published data, developed a clinical decision tree for dialysis access in the chronic kidney disease patient. Vascular access care should be patient-centered with the aim to maximize patient survival without loss of vascular access options; and not focused only the primary patency rates of dialysis access procedures.
(Copyright © 2016 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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