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Clinical Practice Guidelines for Vascular Access

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Presentation on theme: "Clinical Practice Guidelines for Vascular Access"— Presentation transcript:

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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


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