Quality assessment of vascular access procedures for hemodialysis: A position paper of the Vascular Access Society based on the analysis of existing guidelines.

In conclusion, there is a weak recommendation in the guidelines on quality control in vascular access surgery. Quality assessment criteria should be defined in this field of surgery. According to these criteria, patients and nephrologists could choose the best vascular access center or surgeon. Centers with best results should be referral centers, and centers with poorer results should implement quality improvement programs. PMID: 31106700 [PubMed - as supplied by publisher]
Source: The Journal of Vascular Access - Category: Surgery Tags: J Vasc Access Source Type: research

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– Central venous stenosis and occlusion (CVO) is an increasing problem in the growing haemodialysis population. Sequelae include loss of access, loss of sites suitable for future venous access and venous hypertension. Endoluminal techniques are often unsuitable to treat longstanding stenoses and o pen surgery confers higher morbidity and is not be appropriate in many patients.
Source: Annals of Vascular Surgery - Category: Surgery Authors: Tags: Case Report Source Type: research
CONCLUSIONS: This study indicates that costs due to VA are a significant burden on Medicare budgets and on patients. The factors driving access-related utilization and costs merit attention in future research. Both optimizing process of care and discovery innovation may significantly accelerate better stewardship of available healthcare resources. PMID: 31434095 [PubMed - as supplied by publisher]
Source: American Journal of Nephrology - Category: Urology & Nephrology Authors: Tags: Am J Nephrol Source Type: research
CONCLUSION: Cannulation trauma at the initiation of haemodialysis could potentially be reduced with a strategy of incremental haemodialysis using single-needle treatment supported with duplex ultrasonography assessment to 'map' the vascular access as a guide for clinicians prior to cannulation initiation. PMID: 31423945 [PubMed - as supplied by publisher]
Source: The Journal of Vascular Access - Category: Surgery Tags: J Vasc Access Source Type: research
Authors: Idrees M, Suthananthan A, Pathmarajah T, Sieunarine K Abstract PURPOSE: To examine the feasibility of snuffbox arteriovenous fistula as a first option for haemodialysis. BACKGROUND: Snuffbox arteriovenous fistula is the most distal native anastomosis possible for haemodialysis access. It was described by Rassat et al. This systematic review evaluates all literature investigating the feasibility and efficiency of performing snuffbox arteriovenous fistula. METHODS: PubMed, Cochrane Library and Google Scholar were systematically searched for all English articles related to snuffbox arteriovenous fistu...
Source: The Journal of Vascular Access - Category: Surgery Tags: J Vasc Access Source Type: research
We report our experience with early-cannulation Hemodialysis Reliable Outflow grafts and compare them to traditional Hemodialysis Reliable Outflow grafts. METHODS: We retrospectively reviewed all patients undergoing Hemodialysis Reliable Outflow graft placement from 1 January 2013 through 15 August 2017 at our institution and compared those undergoing placement of traditional Hemodialysis Reliable Outflow grafts and simultaneous tunneled dialysis catheter insertion to those undergoing Hemodialysis Reliable Outflow graft placement using an early-cannulation Hemodialysis Reliable Outflow graft without a tunneled dialysis...
Source: The Journal of Vascular Access - Category: Surgery Tags: J Vasc Access Source Type: research
nyi P Abstract Creating durable vascular access has become more complicated with the improvement of the management and with the increasing survival of patients with end-stage renal disease. HeRO (Hemodialysis Reliable Outflow) graft allows to maintain vascular access on the upper limb in patients with the presence of bilateral central venous occlusion. Our institute was the first in Hungary to perform a HeRO graft implantation in a patient receiving regular hemodialysis. Our objective was to present our findings with this recent innovation. Case report, medical documentation and imaging studies were reviewed. The ...
Source: Orvosi Hetilap - Category: General Medicine Authors: Tags: Orv Hetil Source Type: research
ConclusionsThis large outbreak was linked to wall boxes, a previously undescribed source of contaminated fluid and biofilms in the immediate patient care environment.
Source: American Journal of Kidney Diseases - Category: Urology & Nephrology Source Type: research
The purpose of this study was to present the use of “wire-target” access at the jugular-subclavian vein junction for performing percutaneous superior vena cava (SVC) access in patients with bilateral jugular-subclavian vein occlusion requiring tunneled hemodialysis catheter placement, thereby avoiding groin access use.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Tags: Abstract from the 2019 Eastern Vascular Society Annual Meeting Source Type: research
Conclusion: The incidence of CRAT in patients with THC for MHD was 17.9%. Patients with THC for MHD should be examined for presence of CRAT before removal of THC to prevent fatal pulmonary thromboembolism. PMID: 31315321 [PubMed - in process]
Source: Journal of the Association of Physicians of India - Category: General Medicine Tags: J Assoc Physicians India Source Type: research
Authors: Suratkal V, Ahmed A Abstract Right atrial thrombi is a serious complication of central venous cannulation although incidence is less as compared to left atrial thrombi.1 Right atrial thrombi develops at anastomotic foci or on injured endothelium, implanted devices or foreign bodies including tumours, pacemakers and indwelling right atrial catheters. They have been associated with triple-lumen catheters for chemotherapy, intravenous fluids or parenteral nutrition, pulmonary artery catheters, hemodialysis and implantable venous access devices.2 Right atrial thrombi can have severe consequences leading to pul...
Source: Journal of the Association of Physicians of India - Category: General Medicine Tags: J Assoc Physicians India Source Type: research
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