Vascular access creation and maintenance in the USA

Neeta Vachharajani, Paul Wise, Mary Klingensmith, David Jaques, Surendra Shenoy

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Exponential growth and increasing longevity of end-stage renal disease (ESRD) has resulted in significant ongoing changes in vascular access (VA) planning and management in the United States. There is a positive trend showing an increase in arteriovenous fistula (AVF) prevalence both in incident and prevalent patients and a decrease in tunneled dialysis catheters (TDCs) in prevalent patients. Current surgical training seems to provide adequate exposure to VA and an ample opportunity to develop skills required for safe surgical placement of VA. The prevalent differences in practice patterns suggest a need for standardization of VA care. There is a need for a structured curriculum in VA, which is a critical component in making sound decisions in access planning and management.

Original languageEnglish
Pages (from-to)S1-S4
JournalJournal of Vascular Access
Volume16
DOIs
StatePublished - 2015

Keywords

  • Arteriovenous fistula
  • End-stage renal disease
  • Hemodialysis
  • Surgical training
  • Vascular access
  • Vascular access curriculum

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