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  1. Vascular access for haemodialysis : from surgical procedure to an integrated therapeutic approach.

    Article, Communication - En anglais

    Renal disease and ageing. International Congress. Modena, ITA, 1997/09/05.

    During the past 10 years the type of vascular access for haemodialysis procedures have changed markedly in our centre : more elbow AV fistulae and more central venous catheters are now used.

    Nevertheless, early referral to nephrologists and availability of central venous catheters and peritoneal dialysis allow elderly people to be admitted for dialysis treatment.

    Since vascular access for haemodialysis plays a key role in patient well-being, it is mandatory to apply quality assurance criteria to vascular access for haemodialysis surgery.

    Based on the results of a national survey, in Italy this policy is still in its early stages : monitoring of vascular access differs amongst centres, interventional radiology is used in a differing way, planning of vascular access for haemodialysis in pre-dialysis patients often remains an unsolved problem.

    According to our initial experience, we propose the use and validation of a quality-index [ (minimum success rate) in elective vascular access for haemodialysis surgery], allowing accreditation of a department and a single surgeon for access management.

    Prevalence of central venous catheters at first dialysis of chronic renal failure patients is also proposed to evaluate the efficiency in access planning.

    Better knowledge of vascular access management by different teams could eventually lead to definition of guidelines for this'Cinderella of dialysis.

    Mots-clés Pascal : Hémodialyse, Anastomose artérioveineuse chirurgicale, Assurance qualité, Surveillance, Technique, Conduite à tenir, Homme, Epuration extrarénale, Chirurgie, Accés veineux

    Mots-clés Pascal anglais : Hemodialysis, Surgical arteriovenous anastomosis, Quality assurance, Surveillance, Technique, Clinical management, Human, Extrarenal dialysis, Surgery, Venous access

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0063359

    Code Inist : 002B27B03. Création : 31/05/1999.