| A Letter From the Editor | p. x |
| Foreword | p. xi |
| Preface | p. xiii |
| The End Stage Renal Disease Patient as Related to Dialysis | p. 1 |
| The End Stage Renal Disease (ESRD) Timeline | p. 1 |
| Practical Guidelines for Vascular Access Placement | p. 2 |
| The Effective Dialysis Access Team | p. 3 |
| Physical Exam | p. 4 |
| Selection Versus Type of Dialysis Access | p. 5 |
| Surveillance Programs of Hemodialysis Access | p. 8 |
| The Vascular Access Coordinator (VAC) | p. 9 |
| Vascular Access Surgery--General Considerations | p. 11 |
| Background | p. 11 |
| Anesthesia | p. 12 |
| Surgical Instruments and Tools | p. 12 |
| Primary Arterio-Venous (Native) Fistulas (PAVF) | p. 22 |
| Detailed Surgical Procedure | p. 22 |
| Complications of Primary AV Fistulas | p. 36 |
| Summary Steps in Primary AVF Creation | p. 42 |
| PTFE Bridge Grafts | p. 45 |
| Preoperative Considerations | p. 45 |
| Detailed Surgical Procedure | p. 46 |
| Complications from PTFE Grafts | p. 66 |
| Arterial Steal | p. 74 |
| Late Thrombosis | p. 75 |
| Late Infections | p. 79 |
| Dual Lumen Catheters for Dialysis | p. 82 |
| Introduction | p. 82 |
| Indication for Dual Lumen Catheters | p. 82 |
| When to Remove or Exchange | p. 84 |
| Don'ts in Dialysis Catheters | p. 85 |
| Preoperative Considerations | p. 85 |
| Detailed Insertion Technique | p. 87 |
| Removal of Cuffed Catheters | p. 117 |
| Abdominal Catheters for Peritoneal Dialysis: A Detailed Surgical Procedure | p. 136 |
| Background | p. 136 |
| Preoperative Considerations | p. 136 |
| Detailed Operative Procedure | p. 136 |
| Removal of Tenckhoff Catheter | p. 147 |
| Management of Specific Problems | p. 149 |
| Image-Guided Endovascular Evaluation and Intervention for Hemodialysis Vascular Access | p. 152 |
| Introduction | p. 152 |
| Background | p. 152 |
| The DOQI Guidelines Applied to Image-Guided Endovascular Procedures | p. 153 |
| Venous Stenosis: The Primary Offender in Access Dysfunction | p. 157 |
| The Ideal Vascular Access | p. 157 |
| Collaborative Care of Vascular Access--The Team Approach | p. 159 |
| Managing Hemodialysis Vascular Access Dysfunction and Failure | p. 160 |
| Native AV Fistulae | p. 174 |
| Synthetic Bridge Grafts | p. 190 |
| Recanalization of Thrombosed Access | p. 199 |
| Patients with "Frequent Failure" (FF) of Dialysis Access Grafts | p. 212 |
| To Stent or Not to Stent | p. 212 |
| Management of Endovascular Complications | p. 229 |
| Practical Observations: A Summary From My Experience | p. 231 |
| Conclusion | p. 250 |
| Dialysis Access Recanalization Techniques | p. 250 |
| Billing and Coding | p. 255 |
| Common Dialysis Access Management Strategies | p. 259 |
| Introduction | p. 259 |
| Valuable Tools | p. 260 |
| Obesity | p. 262 |
| The Elderly | p. 264 |
| Paper Thin Skin | p. 265 |
| Arterial Steal | p. 265 |
| Poor Arterial Inflow | p. 266 |
| Aneurysms | p. 266 |
| Crossing the Antecubital Fossa | p. 266 |
| The System Factors | p. 267 |
| Doing the Right Thing | p. 267 |
| Examples of What Every Team Member Must Do | p. 268 |
| Future Dialysis Access Issues | p. 270 |
| The Access Center | p. 270 |
| Who Does What and When | p. 271 |
| The Anatomy of the Troubled Vascular Access | p. 271 |
| Dialysis Technique and Access Management | p. 273 |
| Hemodialysis | p. 273 |
| Peritoneal Dialysis (PD) | p. 286 |
| Tools and Methods for Vascular Access Surveillance | p. 294 |
| Introduction | p. 294 |
| Preoperative Evaluation--Duplex Doppler | p. 294 |
| Surveillance | p. 295 |
| Venous Pressure Monitoring | p. 296 |
| Physical Indications of Decreasing Access Function | p. 298 |
| Measurement of Dialysis Access Recirculation | p. 299 |
| Duplex Ultrasonography | p. 300 |
| Access Flow Measurement | p. 301 |
| Conclusions | p. 302 |
| CPT and ICD-9 Coding for Dialysis Access: A Practical Guide | p. 303 |
| Introduction | p. 303 |
| Elective Outpatient | p. 306 |
| Elective Inpatient | p. 309 |
| Outpatient Becoming Inpatient after Surgery | p. 313 |
| Inpatient Staged Procedures | p. 314 |
| Infected Dual Lumen Catheter | p. 315 |
| Clotted AV Access | p. 316 |
| Miscellaneous Vascular Access Problems | p. 318 |
| Failed Thrombectomy with Return to OR | p. 319 |
| Fifty Case Reports--Work in Progress | p. 321 |
| The Antecubital Fossa Vascular Anatomy | p. 321 |
| The Cephalic Vein Patch Wrist AV Fistula | p. 321 |
| Cases | p. 321 |
| Background | p. 322 |
| The Antecubital Fossa Vascular Anatomy | p. 323 |
| The Cephalic Vein Patch Wrist AV Fistula | p. 323 |
| Case Scenarios | p. 323 |
| Prescription Drug Administration in ESRD and Dialysis: A Preliminary Guide | p. 390 |
| Prescription Drug Administration in ESRD and Dialysis | p. 390 |
| Calculations for Drug Dosing and Removal by Dialysis | p. 391 |
| Loading Dose (same for ESRD/nonESRD patients) | p. 391 |
| Drug Removal by Dialysis | p. 391 |
| Estimating Hemodialysis Drug Clearance | p. 391 |
| Estimating Peritoneal Dialysis Drug Clearance | p. 391 |
| Access for Dialysis: A Preoperative Guide for Patients and Their Families | p. 403 |
| Background | p. 403 |
| The Treatment of Kidney Failure | p. 403 |
| Postoperative Instructions for Access Procedures | p. 406 |
| Primary (Native) AV Fistula Placement for Hemodialysis | p. 407 |
| AV Graft Placement for Hemodialysis | p. 408 |
| AV Graft Thrombectomy or Revision | p. 409 |
| Peritoneal Dialysis Catheter (Tenckhoff) | p. 410 |
| Dual Lumen Catheter Insertion | p. 411 |
| Dual Lumen Catheter Removal | p. 412 |
| Vascular Access Physical Examination | p. 413 |
| Access Data Collection | p. 415 |
| Infusion Technique: (See Standardized Order Sheet) | p. 417 |
| Streptokinase/Urokinase/t-PA Protocol for Line Occlusions | p. 417 |
| Ten-Year Experience With First Time Vascular Access | p. 418 |
| Methods | p. 419 |
| Results | p. 419 |
| Summary Remarks | p. 423 |
| Index | p. 426 |
| Table of Contents provided by Syndetics. All Rights Reserved. |
