NDT Advance Access originally published online on September 27, 2006
Nephrology Dialysis Transplantation 2006 21(12):3362-3363; doi:10.1093/ndt/gfl562
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© The Author [2006]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
Trials and trade-offs in haemodialysis vascular access monitoring
1Department of Medicine, Division of Nephrology, Vanderbilt University Medical Center, Nashville, TN and 2Department of Medicine, Division of Nephrology, Maine Medical Center, Portland, ME, USA
Correspondence and offprint requests to: T. Alp Ikizler, MD, Vanderbilt University Medical Center, 1161 21st Ave. South & Garland, Division of Nephrology, S-3223 MCN, Nashville, TN 37232-2372, USA. Email: alp.ikizler@vanderbilt.edu
Keywords: angioplasty; haemodialysis vascular access; monitoring; thrombosis
| The first 10% of the full text of this article appears below. |
There are currently more than 300 000 patients receiving haemodialysis in the US and similar numbers are estimated in Europe. Despite the recognition that vascular access is the Achilles heel of the dialysis procedure, haemodialysis vascular access failure and related complications continue to be one of the most difficult obstacles in the optimal care of dialysis patients. In the US, haemodialysis vascular access procedures and complications account for more than 20% of hospitalizations of haemodialysis patients and result in more than $1 billion per year of government paid expenditures [1]. Additional, often unrecognized costs stem from missed treatments, the placement and use of dialysis catheters and the significant
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