Jean-pierre VAN WAELEGHEM, Melissa CHAMNEY, Elizabeth J LİNDLEY, Jitka PANCÍROVÁ

Vascular Access Management 1: An Overview

Vascular access for renal replacement therapy (RRT) isseen as one of the most challenging areas confronting thenephrology multidisciplinary team. The vascular access ofchoice is the arterio-venous fistula (AVF) followed by thearterio-venous graft (AVG) and central venous catheter(CVC). A successful vascular access programme requiresforward planning ensuring that enough time is available forthe preservation of the access site, its creation and maturation.Successful cannulation of the vascular access requireson the part of the nephrology nurse, clinical expertise andknowledge on the management of different types of vascularaccess including different cannulation techniques.

Anahtar Kelimeler:

Cannulation technique, education, Haemodialysis, Maturation, Vascular access

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Astor, B., Eustace, J., Powe, N., Klag, M., Fink, N. and Coresh, J. (2005) Type of vascular access and survival among incident hemodialysis patients: The Choices for Healthy Outcome in Caring for ESRD (CHOICE) Study. Journal of the American Society of Nephrology, 16(5), 1449-1455.
Brunier, G. (1996) Care of the hemodialysis patient with a new permanent vascular access: Review of assessment and teaching. ANNA Journal, 23(6), 547-556.
CARI (2000) Dialysis Vascular Access Guidelines. http://www.cari.org. au/guidelines_archives.php (accessed 7th January 2008).
Elseviers, M., Van Waeleghem, J. and Lindley, E. (2003) Management of Vascular access in Europe: Part 2 - A Multi centre study of related complications. EDTNA/ERCA Journal, 24(1), 45-50.
ERA-EDTA (2002) European best practice guideline in haemodialysis (part 1). Nephrology Dialysis Transplant, 17(Supplement 7), 1-111.
Frankel, A. (2006) Temporary access and central venous catheters. European Journal of Vascular and Endovascular Surgery, 31(4), 417-422.
Hartigan, M. F. and White, R. (2001) Circulatory access for hemodialysis. In Core Curriculum for Nephrology Nursing 4th ed(Ed, Lancaster, L.) Pitman, New Jersey, pp. 305-329.
Letourneau, I., Ouimet, D., Dumont, M., Pichette, V. and Leblanc, M. (2003) Renal replacement in end-stage renal disease patients over 75 years old. American Journal of Nephrology, 23, 71-77.
Mendelssohn, D., Ethier, J., Elder, S., Saran, R., Port, F. and Pisoni, R. (2006) Haemodialysis vascular access problems in Canada: results from the dialysis outcomes and practice patterns study (DOPPS II). Nephrology Dialysis Transplant, 21(3), 721-728.
Merrill, D., Brouwer, D. and Briones, P. (2005) Haemodialysis Access: A guide for Caregivers and Patients. Dialysis and Transplantation, 34(4), 200-208.
NKF K/DOQI (2006) Clinical practice guidelines and clinical practice recommendations 2006 updates: Vascular access
http://www.kidney.org/professional/KDOQI/guideline_upHD_PD_ VA/va_wg.htm (accessed 7th January 2008).
Pisoni, R., Young, E., Dykstra, D., Greenwood, R., Hecking, E., Gillespie, B., Wolfe, R., Goodkin, D. and Held, P. (2002) Vascular access use in Europe and the United States: Results from the DOPPS. Kidney International, 61(1), 305-316.
Polkinghorne, K., McDonald, S., Atkins, R. and Kerr, P. (2004) Vascular access and all cause mortality: a propensity score analysis. Journal of the American Society of Nephrology, 15(2), 477-486.
Ponikvar, R. (2005) Hemodialysis catheters. Therapeutic Apheresis and Dialysis, 9(3), 218-222.
Roy-Chaudhury, P., Kelly, B., Melhem, M., Zhang, J., Li, J., Desai, P. and Munla, R. (2005) Vascular access in hemodialysis: Issues, management, and emerging concepts. Cardiology Clinics, 23(3), 249-73.
The UK Renal Registry (2005) UK Renal Registry Report 2005-The Eight Annual Report. The UK Renal Registry, Bristol.
Thomas, N. (2002) Haemodialysis. In Renal Nursing 2nd ed(Ed, Thomas, N.) Bailliere Tindall, London pp. P. 170-206. .
Tordoir, J., Canaud, B., Haage, P., Konner, K., Basci, A., Fouque, D., Koonman, J., Martin-Malo, A., Pedrini, L., Pizzarelli, F., Tattersall, J., Vennegoor, M., Wanner, C., Wee, P. and Vanholder, R. (2007) EBPG on Vascular Access. Nephrology Dialysis Transplant, 22(suppl1), ii88-ii117.
USRDS (2006) US Renal Data System 2006 Annual Data Report: Atlas of End Stage Renal Disease in the United States. National Institute of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Behesda, MD.
Van Waeleghem, J. and De Weerdt, D. (1988) Nephrology Department Graphicus, University Hospital Antwerp Belgium
Van Waeleghem, J. P., Elseviers, M. and De Vos, J. (2004) EDTNA/ERCA recommendations for nephrology nursing. EDTNA/ERCA Journal 25(2), 97-105.
Verhallen, A., Kooistra, P. and Jaarsveld, B. (2007) Cannulating in haemodialysis: rope ladder or button role technique. Nephrology Dialysis Transplant, 22(9), 2601-2604.
White, R. (2006) Vascular Access for Hemodialysis. In Contemporary Nephrology Nursing: Principlines and Practice, 2nd Edition (Eds,
Molzahn, A. E. and Butera, E.) American Nephrology Nurses Association Pitman, New Jersey, pp. 561-579.
Work, J. (2001) Chronic catheter placement. Seminars in Dialysis, 14(6), 436-440.
Young, E., Dykstra, D., Goodkin, D., Mapes, D., Wolfe, R. and Held, P. (2002) Hemodialysis vascular access preferences and outcomes in the Dialysis Outcomes and Practice Patterns Study (DOPPS). Kidney International, 61(6), 2266-2271.