Hemodialysis Access: Fundamentals and Advanced Management

by Sherene Shalhub (Editor), Anahita Dua (Editor), Susanna Shin (Editor)

Overview

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.

Product Details

ISBN-13:	9783319400617
Publisher:	Springer-Verlag New York, LLC
Publication date:	11/21/2016
Sold by:	Barnes & Noble
Format:	eBook
Pages:	371
File size:	18 MB
Note:	This product may take a few minutes to download.

About the Author

Sherene Shalhub M.D., M.P.H.


Dr. Shalhub is an Assistant Professor of Vascular Surgery at the University of Washington. Her practice includes the use of open surgical techniques as well as minimally invasive wire and catheter-based interventions for the treatment of vascular disease.
She most recently served as an attending staff surgeon at the Memorial Hermann Heart&Vascular Institute in Texas Medical Center with a faculty appointment as Assistant Professor in the Department of Cardiothoracic and Vascular Surgery at the University Of Texas Health Science Center at Houston. She earned her medical degree from the Morsani College of Medicine at the University of South Florida in Tampa and then completed her general surgery residency and vascular surgery fellowship at the University of Washington in Seattle. In addition, she completed a Master of Public Health degree at the University of South Florida and a postdoctoral trauma research fellowship at the University of Washington.

Table of Contents

Dialysis access planning: Timing of hemodialysis access creation.- Preoperative considerations and noninvasive evaluation.- Strategies of arteriovenous dialysis access.- Peri-procedural and peri-operative considerations.- Pediatric hemodialysis access considerations. Hemodialysis access techniques: Dialysis access catheters (includes placement technique, tips and tricks).- Direct anastomosis cephalic vein  hemodialysis access.- Forearm Cephalic vein Transposition.- Basilic vein Transposition.- Hemodialysis grafts.- Alternative hemodialysis conduits.- Lower extremity hemodialysis access.- Unconventional vascular access procedures.- The Hero Device. Hemodialysis access follow-up: Management of new access from PACU to first-time use.- The immature fistula.- Duplex examination of the hemodialysis access.- Outpatient surveillance at the dialysis center.- The Natural history of hemodialysis access. Hemodialysis access complications: Understanding Intimal hyperplasia biology in hemodialysis access.- Hemodialysis access with complications from the nephrologist’s perspective.- The failing hemodialysis access: The physical exam.- Hemodialysis access percutaneous interventions.- Hemodialysis access outflow vein stenosis (including cephalic arch stenosis).- Central venous Stenosis and occlusion.- Arterial inflow stenosis.- Hemodialysis access-related aneurysms.- The infected hemodialysis access.- The thrombosed hemodialysis access.- Poor hemodialysis access recirculation.- Hand ischemia and neuropathy.- Hemodynamic  complications of hemodialysis access. Hemodialysis alternatives: Renal transplant referral and criteria.- Peritoneal dialysis.  Miscellaneous topics: Current state of hemodialysis access and dialysis access initiatives.- Understanding the hemodialysis machine.- Current Hemodialysis techniques.- Hemodialysis Access Outcomes Assessment.- The outpatient dialysis access center.- Coding and billing for hemodialysis access procedures.

Editorial Reviews

Reviewer: Jon Webb, MD (University of Kentucky College of Medicine)
Description: This is a comprehensive overview of hemodialysis access and the subtleties involved in the care of patients with end-stage renal disease (ESRD). From historical perspective to dialysis access alternatives, this is a thorough review of the many factors that help maintain successful hemodialysis access.
Purpose: The book is intended as a single resource to guide providers involved in the care of ESRD patients through the intricacies of establishing and maintaining an access for patients on dialysis. This is a welcome book for educators and trainees involved in programs that care for this population.
Audience: The book is designed for surgeons, interventionalists, nephrologists, and other providers who care for patients with end-stage renal disease. The authors are experienced in this field and bring their expertise to this reference.
Features: The first section places the issue of maintenance dialysis in perspective, reviewing the history of access and highlighting the successes and failures over time. The next section addresses access planning, with a focus on timing, decision-making, and perioperative considerations. The third section focuses on the technical aspects of creating a dialysis access. The fourth section addresses the assessment of access dysfunction, and the final section covers alternatives to hemodialysis. The book is easy to follow, with a thorough table of contents and index. The images are brilliant and engage readers, important in a teaching tool. The tools for assessing an existing access for potential concerns are particularly helpful. The short final section on alternatives, including wearable dialysis devices, is likely not necessary based on the intent of this book.
Assessment: This is an excellent resource on hemodialysis access! As an educator in the field of nephrology, I plan to use this as a tool for trainees and patient care. The images are particularly brilliant and make this a unique reference.

Doody's Review Service

This is a comprehensive overview of hemodialysis access and the subtleties involved in the care of patients with end‐ stage renal disease (ESRD). … The book is designed for surgeons, interventionalists, nephrologists, and other providers who care for patients with end‐ stage renal disease. … As an educator in the field of nephrology, I plan to use this as a tool for trainees and patient care. The images are particularly brilliant and make this a unique reference.” (Jon Webb, Doody's Book Reviews, November, 2017)

From the Publisher