Vascular Access for Haemodialysis in ESRD скачать в хорошем качестве

Vascular Access for Haemodialysis in ESRD

Vascular access is vital for patients with end stage renal disease (ESRD). Though there are many methods of vascular access for haemodialysis (AVFs, arteriovenous grafts-AVG-and central venous catheters-CVCs), native AVF is the oldest and the best. Urgent haemodialysis can be performed via central venous catheters ( R IJV is preferred). AV shunt is no more in use. Once ESRD is diagnosed, the patient should be scheduled for an elective AVF. Always preserve the superficial veins of upper limbs. AVF should be performed by a skilled surgeon (vascular, urologist or general surgeon). Follow the principles of AVF construction (select best available site and give time for maturation). AVG are used only when no more AVF can be fashioned. Best care of AVF should be provided by the operating surgeon, interventionist and dedicated nurses). Vascular access is a lifeline for ESRD patients. It is mandatory before renal transplant and indispensable after failing renal transplant.