Open AccessHigh rate of native arteriovenous fistulas: How to reach this goal?
Author(s) -
Tamara Jemcov,
Marija Milinković,
Igor Končar,
Ilija B Kuzmanović,
Nenad Jakovljević,
Marko Dragaš,
Nikola Ilić,
Predrag Djoric,
Andreja Dimić,
Igor Banzić,
Milica Kravljača,
Vladimir Nešić,
Lazar Davidović
Publication year - 2015
Publication title -
srpski arhiv za celokupno lekarstvo
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.135
H-Index - 17
eISSN - 2406-0895
pISSN - 0370-8179
DOI - 10.2298/sarh1504226j
Subject(s) - medicine , arteriovenous fistula , vascular access , vascular surgery , hemodialysis , nephrology , catheter , task force , central venous catheter , vascular medicine , cardiology , intensive care medicine , surgery , cardiac surgery , public administration , political science
The types of vascular accesses for hemodialysis (HD) include the native arteriovenous fistula (AVF), arteriovenous graft (AVG) and central venous catheter (CVC). Adequately matured native AVF is the best choice for HD patients and a high percentage of its presence is the goal of every nephrologist and vascular surgeon. This paper analyses the number and type of vascular accesses for HD performed over a 10-year period at the Clinical Center of Serbia, and presents the factors of importance for the creation of such a high number of successful native AVF (over 80%). Such a result is, inter alia, the consequence of the appointment of the Vascular Access Coordinator, whose task was to improve the quality of care of blood vessels in the predialysis period as well as of functional vascular accesses, and to promote the cooperation among different specialists within the field. Vascular access is the "lifeline"for HD patients. Thus, its successful planning, creation and monitoring of vascular access is a continuous process that requires the collaboration and cooperation of the patient, nephrologist, vascular surgeon, radiologist and medical personnel.