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Developing recommendations for vascular access for hemodialysis: Vascular Access Working Group of the Italian Society of Nephrology

Developing recommendations for vascular access for hemodialysis: Vascular Access Working Group of the Italian Society of Nephrology

J Vasc Access 2011; 12(1): 13 - 16

Article Type: REVIEW

DOI:10.5301/JVA.2011.6217

Authors

Luigi Tazza, Salvatore Mandolfo, Luciano Carbonari, Giacomo Forneris, Michele Di Dio, Roberto Palumbo, Giuseppe Bonforte, Antonio Carnabuci, Fosco Cavatorta, Mauro Aloisi, Franco Galli

Abstract

This paper presents an overview of the project carried out by the Vascular Access (VA) Working Group of the Italian Society of Nephrology with the aim of developing 4 position papers at the national level on how to choose, use, and implant the different, possible types of vascular access. The topics of the project are: 1) recommendations on the use of prosthetic arteriovenous fistulas for vascular access in hemodialysis, 2) recommendations on the use of venous catheters for hemodialysis, 3) infections induced by a venous catheter for hemodialysis, and 4) how to create and maintain a vascular access for hemodialysis. This paper also gives an explanation of the difficulties existing in Italy in the implementation of international guidelines, mostly due to significant differences in the procedures for the creation of VA, compared with the countries where most of the literature on the subject has been published. Individual  position papers were drafted for each of the different topics. A list of recommendations was produced based on existing guidelines. Then these recommendations were critically reviewed by experts working in Italy, who expressed their opinion on their inclusion in  position papers. The working method used to gather the opinions of the various experts is described. The final target is to provide clinicians interested in VA with updated documents on selected topics. Such documents will be updated periodically, and they will present a thorough overview of expert opinions.

Article History

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Authors

  • Tazza, Luigi [PubMed] [Google Scholar]
    Department of Surgical Sciences, Cattolica Sacro Cuore University, Rome - Italy
  • Mandolfo, Salvatore [PubMed] [Google Scholar]
    Complex Operative Unit (UOC) Nephrology and Dialysis, A. O. della Provincia, Lodi - Italy
  • Carbonari, Luciano [PubMed] [Google Scholar]
    Department of Vascular Surgery, Ospedali Riuniti, Ancona - Italy
  • Forneris, Giacomo [PubMed] [Google Scholar]
    Department of Nephrology and Dialysis, S. Giovanni Bosco Hospital, Turin - Italy
  • Di Dio, Michele [PubMed] [Google Scholar]
    Department of Nephrology and Dialysis, Ospedali Riuniti, Foggia - Italy
  • Palumbo, Roberto [PubMed] [Google Scholar]
    Complex Operative Unit (UOC) Nephrology and Dialysis, S. Eugenio Hospital, Rome - Italy
  • Bonforte, Giuseppe [PubMed] [Google Scholar]
    Operative Unit of Nephrology and Dialysis, S. Anna Hospital, Como - Italy
  • Carnabuci, Antonio [PubMed] [Google Scholar]
    Complex Operative Unit (UOC), S. Camillo Forlanini Hospital, Rome - Italy
  • Cavatorta, Fosco [PubMed] [Google Scholar]
    Department of Nephrology, General Hospital, Imperia - Italy
  • Aloisi, Mauro [PubMed] [Google Scholar]
    Nephrology and Dialysis Local Health Authority (AUSL) 12, Viareggio, Versilia Hospital, Lido di Camaiore - Italy
  • Galli, Franco [PubMed] [Google Scholar]
    Renal Unit, Salvatore Maugeri Foundation, Pavia - Italy

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