Vascular access creation and care should be provided by nephrologists

The Journal of Vascular Access
M Malovrh

Abstract

The long-term survival and quality of life of patients on hemodialysis is dependent on the adequacy of dialysis via an appropriately placed vascular access. Recent clinical practice guidelines recommend the creation of native arteriovenous fistula or synthetic graft before start of chronic hemodialysis therapy to prevent the need for complication-prone dialysis catheters. The direct involvement of nephrologists in the management of referral patterns, predialysis follow-up, policy of venous preservation, preoperative evaluation, vascular access surgery and vascular access care seems to be important and productive targets for the quality of care delivered to the patients with end-stage renal disease. Early referral to nephrologists is important for delay progression of both kidney disease and its complications by specific and adequate treatment, for education program which should include modification of lifestyle, medication management, selection of treatment modality and instruction for vein preservation and vascular access. Nephrologists are responsible for on-time placement and adequate maturation of vascular access. The number of nephrologists around the world who create their own fistulas and grafts is growing, driven by a n...Continue Reading

References

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May 13, 2014·The Journal of Vascular Access·Marko Malovrh
May 13, 2014·The Journal of Vascular Access·Nicola TessitoreAlbino Poli

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Citations

Dec 8, 2015·BioMed Research International·Jernej Pajek
Jun 18, 2016·The Journal of Vascular Access·Patrícia BarretoAntónio Cabrita
Mar 16, 2017·The Journal of Vascular Access·Jernej Pajek, Marko Malovrh
Jan 7, 2017·The Journal of Vascular Access·George S GeorgiadisChristos Argyriou
Aug 5, 2017·Clinical and Experimental Nephrology·Masato IkedaTakashi Yokoo
Jul 29, 2016·International Urology and Nephrology·Tamara Jemcov, Nada Dimkovic
Jan 10, 2018·Seminars in Dialysis·Sana WaheedAlexander Yevzlin

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