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Although the native arteriovenous fistula (AVF) is recommended as the first choice dialysis access for most patients with better outcomes (1-3), the usage of hemodialysis catheter is unavoidable in some patients; these include using catheter as a bridge before maturation of AVF or waiting for renal transplantation, and in elderly and diabetic patients having unsuitable vessels for AVF. The National Kidney Foundation-Kidney Disease Outcome Quality Initiative issued Clinical Practice Guidelines for Vascular Access in 2006 recommend that less than 10% of prevalent hemodialysis patients should be maintained on central catheters as their permanent dialysis access. However, catheter usage in prevalent hemodialysis was reported from 2% to 45% among 20 countries in 2013, in which most countries except Japan reported more than 10% usage of catheter as prevalent hemodialysis access (4). There are several complications associated with tunneled heAssessment of Venographic Abnormalities during Replacement of Dysfunctional Tunneled Hemodialysis Catheters and Outcome of Endovascular Salvage Techniques

daehan yeongsang uihak hoeji/daehan yeongsang ui haghoeji

Assessment of Venographic Abnormalities during Replacement of Dysfunctional Tunneled Hemodialysis Catheters and Outcome of Endovascular Salvage Techniques