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Optimal Hemodialysis Access
Author(s) -
Conlon Peter J.,
Schwab Steve J.
Publication year - 1994
Publication title -
seminars in dialysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 78
eISSN - 1525-139X
pISSN - 0894-0959
DOI - 10.1111/j.1525-139x.1994.tb00784.x
Subject(s) - medicine , hemodialysis , stenosis , fistula , thrombosis , vascular access , surgery , venous thrombosis , intensive care medicine , radiology
Summary The optimal provision of vascular access for the ESRD patient involves the following: early identification of such patients so that either a primary a/v fistula or a PTFE graft may be created; prospective monitoring of VDP and urea recirculation to detect venous stenoses; intervention with either angio‐plasty or surgical revision in cases found to have venous stenosis; and development of a quality assurance plan that monitors thrombosis and fistula replacement rates and seeks causes of fistula thrombosis in patients without an anatomic basis for the clotting.