Timing of Hemodialysis Access
ESRD patients, 2012 Dialysis Transplant General U.S. population, 2010 Ages All M F All M F All M F 0–14 22.3 23.2 21.3 61.0 60.1 62.5 72.9 70.5 75.3…
Portable and Wearable Dialysis Devices for the Treatment of Patients with End-Stage Renal Disease
Fig. 42.1 Conceptualized wearable peritoneal dialysis system Vincenza Wearable Artificial Kidney The developers of the Vincenza wearable artificial kidney (ViWAK) conceived a wearable system consisting of a double-lumen peritoneal catheter…
Renal Transplant Referral and Criteria
Fig. 39.1 Trends in transplantati on: unadjusted rates, waiting list counts, waiting time, counts of transplants per year, and total functioning transplants. Percent of dialysis patients wait-listed and unadjusted and…
Dialysis Access-Related Steal Syndrome and Neuropathy
Fig. 37.1 Proximalization of arterial inflow (PAI) Revision Using Distal Inflow (RUDI) Revascularization using distal inflow such as the radial or ulnar artery for dialysis access creation was first described…
The Immature Arteriovenous Fistula
Fig. 27.1 A proposed algorithm for evaluating a fistula postoperatively Most often the etiology as to why the fistula is not maturing can be categorized into three basic categories. There…
Understanding Hemodialysis Access Recirculation
Fig. 36.1 Hemodialysis with arteriovenous fistula with arterial and venous cannulas (a). Normal circulation during hemodialysis (b). Recirculation (c) Causes of Recirculation Recirculation is caused by arterial anastomosis stenosis, venous…
The Infected Hemodialysis Access
Fig. 34.1 Ultrasound of prosthetic graft identifies the graft (single arrow) within a large pocket of fluid with heterogeneous material (double arrow) indicating infection Fig. 34.2 Computed tomography of an…
Brachiobasilic Arteriovenous Fistula
Fig. 17.1 Venous and arterial vasculature of the arm Given that this is a second or choice AVF in a patient, central venography may warrant consideration in certain circumstances to…
The Current State of Hemodialysis Access and Dialysis Access Initiatives in the United States
Fig. 3.1 Trends in proportional vascular access type use among prevalent hemodialysis patients in the United States, 1998–2015. Abbreviations: AV arteriovenous (Data sources: ESRD National Coordinating Center [9]; and Finelli…
Home Hemodialysis
Type Blood flow (ml/min) Dialysate flow (ml/min) Ultrafiltration rate (ml/kg/h) Frequency per week Staff assisted 350–500 500–800 10–15 3 Traditional 350–500 500–800 10–15 3–4 Short daily 350–500 100–350 5–10 4–6…
