Demands for vascular access in a renal dialysis unit: implications for a regional vascular unit.

Irish Journal of Medical Science
E EguareP Burke

Abstract

The development of regional dialysis units and the expanding indications for dialysis has led to increased demand for vascular access surgery. Consequently, the provision and maintenance of access, and the management of related complications has created a considerable burden on vascular surgical units in hospitals providing renal replacement therapy (RRT). The objectives of our study were to review our experience with a variety of vascular access modalities for haemodialysis and to quantify the associated surgical workload. We reviewed our experience in a consecutive group of dialysis patients who had access surgery for RRT in a regional hospital setting. Between January 1995 and January 2000, 69 patients entered the long-term dialysis programme in the Mid-Western region (population = 320,000). Of the 158 procedures performed, 138 (87%) were for access creation, and 20 (13%) related to access revision procedures. Twenty patients (29%) developed a total of 30 access related complications. Vascular access procedures accounted for 10% of the vascular surgical workload (1598 procedures) in the five-year period. Vascular access is an important part of the haemodialysis services and surgical expertise should be available at local lev...Continue Reading

References

Feb 1, 1978·Annals of Surgery·C B AndersonE E Etheredge
Jul 1, 1992·Journal of the American Society of Nephrology : JASN·P Y Fan, S J Schwab
Sep 1, 1992·Transplant International : Official Journal of the European Society for Organ Transplantation·G GannedahlC G Groth
Jun 1, 1988·Kidney International·S J SchwabV W Dennis
Oct 1, 1993·Journal of the American Society of Nephrology : JASN·J L Porile, M Richter
May 1, 1993·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·D W Windus
May 1, 1996·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·M J KumwendaK J Haybittle
Apr 1, 1996·Journal of the American Society of Nephrology : JASN·H I FeldmanA Wasserstein
Dec 1, 1995·Journal of the American Society of Nephrology : JASN·F C PrischlR Kramar
Jan 1, 1996·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·N P Mallick, M P de Caestecker
Dec 1, 1996·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·B RöhrichK Schaefer
Feb 14, 1998·Kidney International·M AllonS T Zeigler
Oct 24, 2000·The British Journal of Surgery·G J MurphyM L Nicholson
Jan 12, 2002·Kidney International·Ronald L PisoniPhilip J Held
Jan 15, 2004·Contributions to Nephrology·Rajiv SaranWilliam F Weitzel

❮ Previous
Next ❯

Citations

May 27, 2010·Journal of Clinical Nursing·Dean EasterlowStephanie Harrison

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association
Cécile CouchoudREIN Registry
Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association
J A RodriguezL Piera
Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association
Raghavan MuruganBiological Markers for Recovery of Kidney (BioMaRK) Study Investigators
© 2022 Meta ULC. All rights reserved