Diagnostic and Interventional Radiology of Arteriovenous Accesses for Hemodialysis

This is the first textbook entirely dedicated to the endovascular treatment of complications related to arteriovenous accesses for hemodialysis (native fistulas and prosthetic grafts). The book addresses the anatomy of upper limb arteries and veins as well as the clinical presentation of patients and the way to perform and read a fistulogram. Many details and illustrations are provided, clarifying the subtleties in catheterization and the dilation of stenoses. From a strategic point of view, it is explained for the first time that many stenoses must either be ignored or deliberately underdilated. Many images help understand the different stages of recovery from thrombosed accesses. The number of incident dialysis patients increases by 5 % every year, which means that this is a field of growing interest. There are several annual or bi-annual meetings held by numerous national or international societies (vascularaccesssociety.com, sfav.org, vasmad.org, dialysiscontroversies.org, asdin.org).

Table of contents

Glory and weakness of interventional radiology in dialysis accesses.- The nephrologist, the interventional radiologist and the place of the vascular access in the treatment of end stage renal disease.- Vascular access strategy.- Natural history of vascular accesses.- Radiological anatomy and pre-operative imaging of upper limb vessels.- Which indications and which imaging method for the dialysis access?.- Psychological and clinical aspects.- Clinical pre-requisites prior to angiography.- Angiography (« fistulography »).- Dilation and stents.- Hand ischemia.- How dealing with the thrombosed access?.- Percutaneous occlusion of dialysis accesses.- Diagnostic and interventional radiology of arterio-venous accesses for hemodialysis: a European perspective.- Clinical complications during and after endovascular treatments.- Immediate and long-term results of interventional radiology in dialysis accesses.- Annexes. Addenda.

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