Dialysis Access: A Multidisciplinary Approach Book

	Contributing Authors
	Preface
	Acknowledgment
1	National Kidney Foundation's Dialysis Outcomes Quality Initiative: Goals and General Principles	3
2	Implementing a Vascular Access Program: Improved Outcomes with Multidisciplinary Approaches	6
3	Dialysis Outcomes Quality Initiative Implementation: The Washington University School of Medicine Experience	10
4	Trends in Vascular Access Procedures and Expenditures in Medicare's End-Stage Renal Disease Program	17
5	Early Referral for Vascular Access	25
6	Physiologic Principles of Hemodialysis	31
7	Is Quantitative Measurement of Dialysis Adequacy a Useful Outcome Measure?	38
8	Pathophysiology of Arteriovenous Graft Failure	46
9	Management of Bleeding and Clotting Disorders in Dialysis Patients	52
10	Preoperative Ultrasonography	65
11	Venography before Angioaccess Creation	67
12	New Nomenclature for Arteriovenous Hemodialysis Accesses	74
13	Techniques and Outcomes after Polytetrafluoroethylene Graft Creation	78
14	Techniques and Outcomes after Brachiocephalic and Brachiobasilic Arteriovenous Fistula Creation	84
15	Overview of Complications and Management after Vascular Access Creation	93
16	Management of Hemodialysis Vascular Access Infections	98
17	Vascular Access Surveillance: An Overview	109
18	Physical Examination: The Forgotten Tool	111
19	Role of Access Flow Measurement	119
20	Doppler Ultrasound and Hemodialysis Access Management	133
21	Pressure Measurements in the Surveillance of Vascular Accesses
22	Prophylactic Angioplasty: Is It Worthwhile?
A	Pro Viewpoint	153
B	Con Viewpoint	157
23	Endovascular Interventions: Fistulography, Angioplasty, and Stents	161
24	Diagnosis and Endovascular Treatment for Autologous Fistulae-related Stenoses	170
25	Central Vein Lesions: Prevention and Management	184
26	Pharmacologic Thrombolysis for Dialysis Grafts	199
27	Mechanical Thrombectomy Techniques and Devices	205
28	Surgical Thrombectomy and Revision: Polytetrafluoroethylene Grafts	215
29	Salvage of the Thrombosed Dialysis Access Graft: Surgical versus Radiologic Methods. Does It Matter?	221
30	Endovascular Treatment of Thrombosed Autologous Fistulae	229
31	Surgical Management of Autologous Fistulae: Early and Late Thrombosis, Maturation Failure, and Other Complications	242
32	The Use of Catheters for Hemodialysis: Overview	253
33	Catheter Insertion: Techniques, Cost, and Outcomes	261
34	Exotic Catheter Access	270
35	Management of the Infected Catheter	283
36	Management of Catheter Malfunction	290
37	Principles of Peritoneal Dialysis: Physiology, Patient Selection, and Catheter Maintenance	303
38	Techniques of Peritoneal Catheter Insertion	310
39	Percutaneous Radiologic Placement and Management of Peritoneal Dialysis Catheters: Technique and Results	322
40	Vascular Access Centers: An Innovative Approach for Vascular Access Care	333
41	Pharmacologic Approaches to Preventing Hemodialysis Access Failure	341
42	Physical and Biologic Considerations for Hemodialysis Catheters (Biofilm, Locks, and Ports)	353
43	Endoluminal Grafts	363
44	Vascular Brachytherapy	371
	Subject Index	383