| Theme | Manifold preferable strategies for better prognosis of the dialysis patients | |
|---|---|---|
| Title | Maintaining best possible vascular access | |
| Publish Date | 2017/07 | |
| Author | Kazutaka Kukita | Department of Surgery, Sapporo Hokuyu Hospital |
| Author | Masanori Sato | Department of Surgery, Sapporo Hokuyu Hospital |
| Author | Seiichiro Tsuchihashi | Department of Surgery, Sapporo Hokuyu Hospital |
| Author | Masahiro Hattori | Department of Surgery, Sapporo Hokuyu Hospital |
| Author | Junichi Iida | Department of Surgery, Sapporo Hokuyu Hospital |
| Author | Motoki Yonekawa | Department of Surgery, Sapporo Hokuyu Hospital |
| [ Summary ] | The creation and maintenance of vascular access (VA) points, which are necessary to provide stable hemodialysis therapy. As for the choice of VA, arteriovenous fistula (AVF) using patient's blood vessels is considered to be the best choice in terms of achieving good probe patency rates and avoiding complications. When that is impossible, arteriovenous grafts (AVG) using artificial blood vessels, artery superficialization, or cuffed catheters may be used for VA. It is important to prevent complications, including infection to establish good VA points. Early detection of complications and treatment is necessary when employing these techniques. | |