The Outpatient Dialysis Access Center
Fig. 43.1 Fixed ceiling mounted Philips system with table and setup to perform a fistulagram. Radiation protection is provided via transparent shield in front of image intensifier and via lead…
NEPHROLOGY
Hemodialysis in the Morbidly Obese
Fig. 25.1 Recommended supplies for the liposuction superficialization procedure The procedure begins with ultrasound visualization of the AVF, and an indelible marker is used to mark its course (Fig. 25.2)….
The Role of Routine Venography Prior to Fistula Creation
Fig. 14.1 Central occlusion. This right upper extremity venogram shows an occlusion of the right subclavian vein. (A) This is likely related to previous placement of a temporary hemodialysis catheter…
Strategies of Arteriovenous Dialysis Access
Fig. 11.1 A suggested algorithm for individualized approach regarding the most appropriate dialysis access for each patient. The four clinical factors used to make the decision are the initiation of…
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…
