Endovascular Techniques for Dialysis Vascular Access
Vandana Niyyar1 , Tushar J. Vachharajani2, *
Identifiers and Pagination:Year: 2012
First Page: 19
Last Page: 23
Publisher Id: TOUNJ-5-19
Article History:Received Date: 1/2/2012
Revision Received Date: 12/4/2012
Acceptance Date: 20/4/2012
Electronic publication date: 1 /6/2012
Collection year: 2012
open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
A nephrologist is well equipped to understand and manage the complexities involved in educating and preparing a patient with chronic kidney disease to embrace the challenges involved with renal replacement therapy. The importance of vascular access in providing adequate dialysis therapy cannot be overemphasized. Unfortunately, it remains a weak link in providing optimal care and a major cause of morbidity and mortality. The timely diagnosis of a dysfunctional vascular access involves implementing a good monitoring and surveillance program. A nephrologist of the millennium needs to be well equipped with skills to perform procedures such as fistulogram, percutaenous angioplasty, endovascular thrombectomy and occasionally placement of stents and coils for timely intervention of a dysfunctional access. The current review describes the basic procedures that can be easily performed by nephrologists to provide ideal care to dialysis patients.