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< Vol. 16 Suppl. 9 - Presentations of the European Vascular Access Course 2015

Vascular access creation and maintenance in the USA

Vascular access creation and maintenance in the USA

J Vasc Access 2015; 16(Suppl. 9): 1 - 4

Article Type: ORIGINAL ARTICLE

DOI:10.5301/jva.5000373

Authors

Neeta Vachharajani, Paul Wise, Mary Klingensmith, David Jaques, Surendra Shenoy

Corresponding author

  • Surendra Shenoy
  • Department of Surgery
  • Saint Louis MO
  • 63110
  • shenoy@wustl.edu

Abstract

Exponential growth and increasing longevity of end-stage renal disease (ESRD) has resulted in significant ongoing changes in vascular access (VA) planning and management in the United States. There is a positive trend showing an increase in arteriovenous fistula (AVF) prevalence both in incident and prevalent patients and a decrease in tunneled dialysis catheters (TDCs) in prevalent patients. Current surgical training seems to provide adequate exposure to VA and an ample opportunity to develop skills required for safe surgical placement of VA. The prevalent differences in practice patterns suggest a need for standardization of VA care. There is a need for a structured curriculum in VA, which is a critical component in making sound decisions in access planning and management.

Article History

  • • Accepted on 09/01/2015
  • • Available online on 08/03/2015
  • • Published in print on 09/03/2015

Disclosures

Financial support: The authors have no financial disclosures to make.
Conflict of interest: The authors have no conflict of interest.

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Authors

  • Vachharajani, Neeta [PubMed] [Google Scholar] 1
  • Wise, Paul [PubMed] [Google Scholar] 2
  • Klingensmith, Mary [PubMed] [Google Scholar] 2
  • Jaques, David [PubMed] [Google Scholar] 3
  • Shenoy, Surendra [PubMed] [Google Scholar] 1, * Corresponding Author (shenoy@wustl.edu)

Affiliations

  • Section of Transplantation, Washington University School of Medicine, Saint Louis - USA
  • Department of Surgery, Washington University School of Medicine, Saint Louis - USA
  • Barnes Jewish Hospital, Saint Louis - USA

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