The goal of these Guidelines is to summarise and evaluate all the currently available evidence to assist physicians in selecting the best management strategies for all patients needing VA or for pathologies derived from a VA” Schmidli et al (2018).
“The European Society for Vascular Surgery (ESVS), in line with its mission, appointed the Vascular Access (VA) Writing Committee (WC) to write the current clinical practice guidelines document for surgeons and physicians who are involved in the care of patients with haemodialysis (HD) and VA. The goal of these Guidelines is to summarise and evaluate all the currently available evidence to assist physicians in selecting the best management strategies for all patients needing VA or for pathologies derived from a VA. However, each physician must make the ultimate decision regarding the particular care of an individual patient.1, 2
Patients with VA for HD are complex and also subject to significant clinical practice variability, although a valid evidence base is available to guide recommendations. The significant technical and medical advances in VA have enabled guidelines to be proposed with greater supporting evidence than before. Potential increases in healthcare costs and risks due to industry and public driven use of novel treatment options make the current guidelines increasingly important.”
Schmidli, J., Widmer, M.K., Basile, C., de Donato, G., Gallieni, M., Gibbons, C.P., Haage, P., Hamilton, G., Hedin, U., Kamper, L., Lazarides, M.K., Lindsey, B., Mestres, G., Pegoraro, M., Roy, J., Setacci, C., Shemesh, D., Tordoir, J.H.M., van Loon, M., Esvs Guidelines Committee, Kolh, P., de Borst, G.J., Chakfe, N., Debus, S., Hinchliffe, R., Kakkos, S., Koncar, I., Lindholt, J., Naylor, R., Vega de Ceniga, M., Vermassen, F., Verzini, F., Esvs Guidelines Reviewers, Mohaupt, M., Ricco, J.B. and Roca-Tey, R. (2018) Vascular Access: 2018 Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS). European Journal of Vascular and Endovascular Surgery. May 2nd. .