A review of the current recommendations and practices for hemodialysis access monitoring and maintenance procedures.
Semin Vasc Surg
; 37(2): 133-149, 2024 Jun.
Article
em En
| MEDLINE
| ID: mdl-39151993
ABSTRACT
The growing number of prevalent arteriovenous (AV) accesses has been associated with an increase in the incidence of procedures being performed to maintain patency. To reduce the rate of unnecessary procedures, the 2019 Kidney Disease Outcome Quality Initiative guidelines addended the AV access surveillance recommendations, which includes clinical monitoring and assessment of dialysis adequacy alone. Abnormal clinical findings would necessitate follow-up angiography with or without confirmatory duplex ultrasound. Due to poor patency, increased surveillance schedules have been proposed to identify stenosis early and potentially prevent acute thrombotic events and AV access failure. In this review, we outlined current AV access monitoring and maintenance procedure recommendations, as described by the Centers for Medicare and Medicaid Services and 2019 Kidney Disease Outcome Quality Initiative guidelines. In addition, we highlight the findings of recently published randomized controlled trials that have examined increased surveillance schedules.
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Base de dados:
MEDLINE
Assunto principal:
Grau de Desobstrução Vascular
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Derivação Arteriovenosa Cirúrgica
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Diálise Renal
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Guias de Prática Clínica como Assunto
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Oclusão de Enxerto Vascular
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article