Practical Guide To Surgical And Endovascular Hemodialysis Access Management Case Based Illustration

"The renal failure and hemodialysis dependent population is increasing worldwide. Hemodialysis access is the life-line of these patients. Hemodialysis access related surgical and interventional procedures form a major demand to the healthcare services in many developed and developing countries. As such, the proper clinical decision, planning and performance of these procedures will greatly benefit the hemodialysis patients and reduce unnecessary healthcare costs. This book is a practical guide for clinicians and nurses creating, treating or managing hemodialysis accesses for renal failure patients. Basic principles to manage common or difficult situations of hemodialysis access are discussed and illustrative clinical cases are shown as examples. This book is an essential reading material for healthcare professionals in their early phase of developing the hemodialysis access program, while providing useful tips and tricks to established clinicians that will broaden their armamentarium."--

The renal failure and hemodialysis dependent population is increasing worldwide. Hemodialysis access is the life-line of these patients. Hemodialysis access related surgical and interventional procedures form a major demand to the healthcare services in many developed and developing countries. As such, the proper clinical decision, planning and performance of these procedures will greatly benefit the hemodialysis patients and reduce unnecessary healthcare costs. This book is a practical guide for clinicians and nurses creating, treating or managing hemodialysis accesses for renal failure patients. Basic principles to manage common or difficult situations of hemodialysis access are discussed and illustrative clinical cases are shown as examples. This book is an essential reading material for healthcare professionals in their early phase of developing the hemodialysis access program, while providing useful tips and tricks to established clinicians that will broaden their armamentarium. Contents:General Principles of Hemodialysis Access Creation (Jackie P Ho)Algorithm of Assessment and Planning of Hemodialysis Access Creation in Challenging Conditions (Jackie P Ho)Creation of Vascular Access (Jackie P Ho)Challenges in Tunnelled Catheter Insertion (Anil Gopinathan)Assessment of Vascular Access Maturity and Long Term Performance (Jackie P Ho)CO2 Angiography: Application and Caution (Kyung J Cho)Strategies to Assist Fistula Maturation and Successful Use for Hemodialysis (Jackie P Ho)Endovascular Salvage for Failing Hemodialysis Access (Jackie P Ho)Endovascular Salvage for Thrombosed Hemodialysis Access (P J Ko and S Y Chu)Surgical Management for Failing and Failed Hemodialysis Access (Jackie P Ho)Strategies for Central Vein Obstruction (Kyung J Cho)Prevention, Diagnosis and Management of Steal Syndrome (Jackie P Ho)Management of Aneurysm, Pseudoaneurysm and Infective Complications of Hemodialysis Access (Jackie P Ho)Vascular Access for Desperate Situations (Jackie P Ho)Multi-Disciplinary Team Approach for Optimal Hemodialysis Access Care (Jackie P Ho) Readership: Surgeons, physicians, interventionists and nurses managing hemodialysis access. Key Features:This book provides an overall principle of hemodialysis access management strategy, discussion and illustration on various hemodialysis access creation and maintenance, review of treatment for various challenging access conditionsThe authors are vascular surgeons and intervention radiologists dedicated to hemodialysis access service. This book has a comprehensive coverage of surgical and intervention management of various conditions of hemodialysis access This book consists of large number of clinical photographs, schematic diagrams, operative and interventional images, and clinical decision flow chart for easy reading and understandingKeywords:Hemodialysis Access;Fistula;Renal Failure;Vascular Access

This updated volume covers the basic principles and practice of dialysis access management. To cover the latest trends and evidence from clinical trials, new chapters on the management of cephalic arch stenosis and swing zone stenosis, the role of drug eluting balloon in dialysis access interventions, the management of central vein stenosis, endovascular creation of AVF, and the management of steal syndrome have been included. Dialysis Access Management gives readers a step-by-step guide to endovascular interventions with special emphasis on the principles and rationale behind these approaches. This book is an essential text for residents, fellows, and physicians who are learning or practicing in dialysis, especially in the fields of nephrology, radiology, surgery, and vascular medicine.

This comprehensive reference on the fundamentals of hemodialysis access creation and advanced management for maintenance is designed to meet the needs of all surgeons and physicians responsible for the treatment and care of patients undergoing dialysis. The book opens by discussing every aspect of dialysis access planning, including selection of the right access for the individual patient and access strategies. Hemodialysis access techniques, from the most basic to the most complex and unconventional, are then described step by step, and guidance is provided on follow-up. Detailed attention is also devoted to the challenging management of specific complications of dialysis access surgery, including failing hemodialysis access. The book includes a wealth of informative, high-quality images and illustrations, and the authors are prominent vascular surgeons, transplant surgeons, general surgeons, nephrologists, and interventional radiologists from across the United States.

This invaluable book provides the first description of the diverse and fascinating functions of heme in life processes for a broad audience. It begins with an introduction of the intricate chemical properties of heme and the history of early observations of human diseases associated with heme. It then proceeds to describe the versatile roles of heme in controlling diverse molecular and cellular processes germane to human life and disease processes. In the second edition, a new chapter is devoted to describe findings about heme uptake, transport, and trafficking of heme synthesis intermediates in mammals. Additionally, a chapter about the newly discovered roles of elevated heme biosynthesis and uptake in lung tumorigenesis is included.Heme Biology is unified and logical in presentation. It is well suited for students and professionals in life sciences who wish to know about the fascinating biology of heme and its usefulness in health and diseases. It may also be used as a reference book for advanced readers and researchers who are interested in heme biology. The explanations in the book are detailed enough to capture the interest of the curious reader, and complete enough to provide the necessary information for researchers to have an in-depth molecular understanding of heme biology and further their studies in this fascinating realm.

Decision-making regarding the route of access to minimize procedural complications, especially in patients with unusual or complicated vascular anatomy, is extremely important for successful vascular access surgery. Several techniques for vascular access are widely disputed in the context of achieving optimal clinical outcomes. This book discusses various clinical aspects of vascular access to enrich our knowledge and understanding of the contemporary methodology and management of vascular access for a broad range of purposes. In four sections, this book examines the following topics: 1. Vascular Access: Methodology and Contemporary Management; 2. Vascular Access and Reparative Surgery; 3. Vascular Access Failure; and 4. Risk Stratification in Vascular Access.