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Vascular access care should be patient-centered with the aim to maximize patient survival without loss of vascular access options; and not focused only the primary patency rates of dialysis access procedures” Letachowicz et al (2017).

Abstract:

A cornerstone of hemodialysis treatment is the creation of a functional and durable dialysis vascular access. Every patient with chronic kidney disease should have a plan of renal replacement therapy and access site protection. Factors having a crucial impact on vascular access selection include age, comorbidity, vessel quality, prognosis, dialysis urgency, and surgeon’s preferences.

[ctt link=”U_60G” template=”1″]ReTweet if useful… Authors suggest vascular access should be tailored to each patient https://ctt.ec/U_60G+ @ivteam #ivteam[/ctt]

Our medical group have reviewed these factors in our patients and, based on recently published data, developed a clinical decision tree for dialysis access in the chronic kidney disease patient. Vascular access care should be patient-centered with the aim to maximize patient survival without loss of vascular access options; and not focused only the primary patency rates of dialysis access procedures.

Reference:

Letachowicz, K., Szyber, P., Gołębiowski, T., Kusztal, M., Letachowicz, W., Weyde, W., Garcarek, J. and Klinger, M. (2016) Vascular access should be tailored to the patient. Seminars in Vascular Surgery. 29(4), p.146-152.

doi: 10.1053/j.semvascsurg.2016.11.003.

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