Clinical Practice Guidelines for Vascular Access

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Presentation transcript:

Clinical Practice Guidelines for Vascular Access American Journal of Kidney Diseases Volume 48, Pages S176-S247 (July 2006) DOI: 10.1053/j.ajkd.2006.04.029 Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions

American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10. 1053/j American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10.1053/j.ajkd.2006.04.029) Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions

American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10. 1053/j American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10.1053/j.ajkd.2006.04.029) Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions

American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10. 1053/j American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10.1053/j.ajkd.2006.04.029) Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions

American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10. 1053/j American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10.1053/j.ajkd.2006.04.029) Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions

American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10. 1053/j American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10.1053/j.ajkd.2006.04.029) Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions

American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10. 1053/j American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10.1053/j.ajkd.2006.04.029) Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions

Fig 1 Starting a buttonhole. Reproduced with permission from Medisystems Inc. American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10.1053/j.ajkd.2006.04.029) Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions

Fig 2 Cannulating a buttonhole. Reproduced with permission from Medisystems Inc. American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10.1053/j.ajkd.2006.04.029) Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions

Fig 3 Pressure profiles in grafts (top) and fistulae (bottom). Symbols: P, pressure; ΔP, change in pressure; R, resistance; QAC, access flow; A, arterial; V, venous. Figure adapted from Sullivan K, Besarab A: Strategies for maintaining dialysis access patency. Chapter 11. In Cope C (ed): Current Techniques in Interventional Radiology (ed 2). Philadelphia, PA, Current Medicine, 1995, pp 125-131. American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10.1053/j.ajkd.2006.04.029) Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions

Fig 4 IAPs within normal grafts and fistulae. Reprinted with permission: Besarab A, Frinak S, Aslam M: Pressure measurements in the surveillance of vascular accesses. In Gray R (ed): A Multidisciplinary Approach for Hemodialysis Access. Philadelphia, PA, Lippincott Williams & Wilkins, 2002, Chapter 21, pp 137-150. American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10.1053/j.ajkd.2006.04.029) Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions

Fig 5 Effect of venous outlet stenosis on pressure profile. Reproduced with permission from Medisystems Inc. American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10.1053/j.ajkd.2006.04.029) Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions

Fig 6 Effect of graft venous outlet stenosis. Reprinted with permission: Besarab A: Blood Purif 2006;24:77-89 (DOI: 10.1159/000089442). S. Karger AG, Basel. American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10.1053/j.ajkd.2006.04.029) Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions

Fig 7 Relationship of IAP ratio to access flow. Reprinted with permission: Besarab A: Blood Purif 2006;24:77-89 (DOI: 10.1159/000089442). S. Karger AG, Basel. American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10.1053/j.ajkd.2006.04.029) Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions

American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10. 1053/j American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10.1053/j.ajkd.2006.04.029) Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions

American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10. 1053/j American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10.1053/j.ajkd.2006.04.029) Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions

American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10. 1053/j American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10.1053/j.ajkd.2006.04.029) Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions

American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10. 1053/j American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10.1053/j.ajkd.2006.04.029) Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions

Table 11 American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10.1053/j.ajkd.2006.04.029) Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions

Table 12 American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10.1053/j.ajkd.2006.04.029) Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions

Table 13 American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10.1053/j.ajkd.2006.04.029) Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions

Table 14 American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10.1053/j.ajkd.2006.04.029) Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions

American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10. 1053/j American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10.1053/j.ajkd.2006.04.029) Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions

Table 16 American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10.1053/j.ajkd.2006.04.029) Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions

Fig 8 Treatment of stenosis. (Courtesy of Dr Thomas Vesely) American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10.1053/j.ajkd.2006.04.029) Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions

American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10. 1053/j American Journal of Kidney Diseases 2006 48, S176-S247DOI: (10.1053/j.ajkd.2006.04.029) Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions