Vascular Access Surgery

This book offers a comprehensive overview of up-to-date knowledge on vascular access surgery. Written by a senior author with more than 30 years of experience and by expert contributors, it covers both surgical and theoretical aspects. The author shares his expertise in a hands-on approach and presents his views on the difficulties that every clinician may encounter. The various options for vascular access creation are carefully reviewed. Detailed descriptions and numerous accompanying illustrations of AV fistulas, AV prosthetic grafts, and arterio arterial grafts are provided, and a chapter is also devoted to the use of central venous catheters. Potential complications and their management are explained, and advice is offered on how to deal with special patient groups requiring extra attention. Separate chapters on fluid dynamics (drawing on the author’s own research) and vascular pathology cater for the needs of those with a particular interest in the pathophysiological principles.

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.

This practical and comprehensive book provides "how-to" information on all aspects of access to the vascular system for hemodialysis, parenteral nutrition, chemotherapy, and resuscitation. Preoperative evaluation, operations, noninvasive procedures, complications, and other aspects are detailed. This edition provides increased coverage of non-interventional techniques and includes new chapters on management of thrombophilia in hemodialysis patients; modulation of the immune system to prevent myointimal hyperplasia; synthetic grafts; venous outflow stenting for salvage of vascular access procedures; and ultrasound in vascular access procedures. This book is essential for all clinicians treating patients who require vascular access, including vascular surgeons, general surgeons, nephrologists, dialysis technicians and nurses, radiologists, and cardiologists.

This book analyses the latest advancements in the very important topic of vascular access in haemodialysis patients. Dialysis patients are a continuously growing population all over the world. Long-lasting and well-functioning vascular access is a life-line for these patients. Therefore, successful creation and appropriate management of vascular access is of the utmost importance. This book comprehensively reviews the different and most important issues related to vascular access management. It has 33 chapters discussing a wide variety of the most important topics including: principles of access creation in adults, paediatric and geriatric populations; types of anaesthesia; central venous catheters; early cannulation and hybrid vascular grafts; possible complications and principles of their management; quality of life in dialysis patients; etc. It consists of a review as well as original articles pertaining to the subject matter. The book also describes rare forms of arterio-venous accesses, last resort dialysis accesses, and life-saving approaches for the most challenging patients. All of the authors are experts in the field. They represent 16 different countries across the world, making this book especially unique. The chapters are well-illustrated, making them easy to read. We hope that this book will offer the most contemporary and useful information for specialists involved in haemodialysis therapy.

This comprehensive reference details the techniques for establishing vascular access for hemodialysis and other acute and chronic conditions that require access to the circulation along with peritoneal dialysis access methods. Includes over 960 references and more than 160 tables, figures, and photographs. Vascular Access in Clinical

Updated and revised, this 4th Edition is a practical, in-depth "how-to" guide to all aspects of vascular access surgery for a wide rage of patients and conditions. For each application, it illustrates regional anatomy and physiology ... discusses the indications for the various techniques... describes surgical procedures in depth...details the newest percutaneous interventions and thrombolysis...and presents the expected results and complications. Readers will also vital information on biomaterials, physiology of hemodialysis, and other core scientific topics.