Essentials of Percutaneous Dialysis Interventions
As the dialysis population grows, an expert medical resource on the percutaneous creation and maintenance of vascular access is much needed. This book fulfills exactly that need, engaging interventional radiologists, vascular surgeons, interventiona
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Dheeraj K. Rajan Editor
Essentials of Percutaneous Dialysis Interventions
Editor
Dheeraj K. Rajan, MD, FRCPC, FSIR Head and Associate Professor Division of Vascular & Interventional Radiology Department of Medical Imaging University of Toronto Toronto, ON, Canada [email protected]
ISBN 978-1-4419-5656-9 e-ISBN 978-1-4419-5657-6 DOI 10.1007/978-1-4419-5657-6 Springer New York Dordrecht Heidelberg London Library of Congress Control Number:2011933603 © Springer Science+Business Media, LLC 2011 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)
Preface
Within the last decade, we have seen a rapid expansion and innovation in dialysis interventions throughout the world and in particular North America. Growth has been fuelled by an aging population, healthcare advances that have prolonged life, and a greater incidence of certain disease states particularly diabetes. These factors have all contributed toward a greater occurrence and prevalence of end-stage renal disease. The increased need for dialysis and its attendant costs have now moved from a point of obscure interest to one of major concern within medicine. In addition to the increased burden on the medical system, the costs are substantial and growing exponentially. As a result, we have witnessed within a few years a number of new physician groups, organizations, and both medical device and pharmacological companies become involved with all aspects of medical care related to end-stage renal disease. One particular area, hemodialysis access creation and maintenance, has seen particular focused interest. Prior to 2000, there was little interest in creation and methods to maintain autogenous hemodialysis fistulas, outpatient hemodialysis intervention centers were rare and maintenance interventions were largely performed by Interventional Radiologists. Within the last 10 years, the kidney disease outcomes quality initiat
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