Diagnostic and Interventional Radiology of Arteriovenous Accesses for Hemodialysis

Covering endovascular treatment of complications of arteriovenous access for hemodialysis, this book reviews anatomy of upper limb arteries and veins, clinical presentation of patients and fistulograms. Offers illustrated tips on catheterization and more.

This is the first textbook entirely dedicated to the endovascular treatment of complications related to arteriovenous accesses for hemodialysis (native fistulas and prosthetic grafts). The book addresses the anatomy of upper limb arteries and veins as well as the clinical presentation of patients and the way to perform and read a fistulogram. Many details and illustrations are provided, clarifying the subtleties in catheterization and the dilation of stenoses. From a strategic point of view, it is explained for the first time that many stenoses must either be ignored or deliberately underdilated. A wealth of images helps to understand the different stages of access recovery from thrombosis. As the number of incident dialysis patients is increasing by 5% every year, this is a field of growing interest. In testament to this there are several annual or bi-annual meetings held by numerous national and international societies (vascularaccesssociety.com, sfav.org, vasamd.org, dialysiscontroversies.org, asdin.org).

This is the first lavishly illustrated book dedicated to all strategic, diagnostic aspects and techniques dealing with the complications of arteriovenous accesses for hemodialysis by interventional radiologists Beginners find many technical details on the most common interventions Experienced practitioners will discover original ideas on how to address the more complex cases Advice on the strategies are based on the results of the literature and on recommendations of national and international societies The book is intended for all physicians, radiologists, surgeons, nephrologists and other specialists involved in the Endovascular treatment of the dialysis fistulas

Autorentext

Luc Turmel, founding member of the European Vascular Access Society, has published numerous articles about dialysis fistulas and has participated in various conferences and courses on the topic since 1996. Claude J. Renaud, who trained with Luc Turmel, is a native speaker of English (born on the Seychelles islands and working in Singapore). He will be in charge of the translation.

Inhalt

Glory and weakness of interventional radiology in dialysis accesses.- The nephrologist, the interventional radiologist and the place of the vascular access in the treatment of end stage renal disease.- Vascular access strategy.- Natural history of vascular accesses.- Radiological anatomy and pre-operative imaging of upper limb vessels.- Which indications and which imaging method for the dialysis access?.- Psychological and clinical aspects.- Clinical pre-requisites prior to angiography.- Angiography (« fistulography »).- Dilation and stents.- Hand ischemia.- How dealing with the thrombosed access?.- Percutaneous occlusion of dialysis accesses.- Diagnostic and interventional radiology of arterio-venous accesses for hemodialysis: a European perspective.- Clinical complications during and after endovascular treatments.- Immediate and long-term results of interventional radiology in dialysis accesses.- Annexes. Addenda.