Program Book - Keck School of Medicine of USC - University of ...

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REFERENCES:1. National Institute of Diabetes and Digestive and Kidney Diseases, NIH, HHS. UnitedStates Renal Data System annual data report; 2010.2. Health Care Financing Administration, HHS. End stage renal disease programhighlights [fact sheet]; August 1997.3. Haimov M, Baez H, Neff M, Slifkin R. Complications of arteriovenous fistulas forhemodialysis. Arch Surg 1975;110:708– 712.4. Zibari GB, Rohr MD, Landreneau MD, et al. Complications from permanenthemodialysis access. Surgery 1988;104:681-686.5. Kwun KB, Schanzer H, Finkler N, et al. Hemodynamic evaluation of vascularangioaccess procedures for hemodialysis. Vasc Surg 1979;13:170-177.6. Ballard J, Blunt TJ, Malone J. Major complications of angioaccess surgery. Am J Surg1992;164:229–232.7. Berman SS, Gentile AT, Glickman MH, et al. Distal revascularization-interval ligationfor limb salvage and maintenance of dialysis access in ischemic steal syndrome. J VascSurg 1997;26:393–404.8. Morsy AH, Kulbaski M, Chen C, et al. Incidence and characteristics of patients withischemia after hemodialysis access procedure. J Surg Res 1998;74:8–10.9. Lazarides MK, Staamos DN, Panagopoulos GN, et al. Indications for surgicaltreatment of angioaccess-induced arterial “steal.” J Am Coll Surg 1998;187:421–426.10. DeCaprio JD, Valentine RJ, Kakish, et al. Steal syndrome complicating hemodialysisaccess. Cardiovasc Res 1997;5: 648–653.11. Strandness DE Jr, Gibbons GE, Bell JW. Mercury strain gauge plethysmography:evaluation of patients with acquired arteriovenous fistulas. Arch Surg 1962;85:215–219.12. Byrne JP, Stevens LE,Weaver DH, et al. Advantages of surgical arteriovenousfistulas for hemodialysis. Arch Surg 1971;102: 359–362.13. Strandness DE, Sumner DS. Arteriovenous fistula. In: Hemodynamics for surgeons.1st ed. New York: Grune & Stratton, Inc; 1975:621–663.14. Sumner DS. Arteriovenous fistula. In: Strandness DE Jr, ed. Collateral circulation inclinical surgery. Philadelphia: WB Saunders; 1969:[section 2]27–90.15. Zarins CK, Giddens DP, Bharadvaj BK, et al. Carotid bifurcation atherosclerosis.Quantitative correlation of plaque localization with flow velocity profiles and wall shearstress. Circ Res 1983;53:502–514.16. Shemesh D, Mabjeesh NJ, Abramowitz HB. Management of dialysis access -associated steal syndrome: use of intraoperative duplex ultrasound scanning for optimalflow reduction. J Vasc Surg 1999;30:193–195.17. Fillinger MF, Reinitz ER, Schwartz RA, et al. Beneficial effects of banding onvenous intimal-medial hyperplasia in arteriovenous loop grafts. Am J Surg 1989;158:87–94.18. Schanzer H, Schwartz M, Harrington E, Haimov M. Treatment of ischemia due to“steal” by arteriovenous fistula with distal artery ligation and revascularization. J VascSurg 1988;7:770–773.19. Ingebrigtsen R, When PS. Local blood pressure and direction of flow in experimental12112
arterio-venous fistula. Acta Chir Scand1960;120:142–150.20. Wixon CL, Mills JL, Berman SS. Distal revascularization - interval ligation formaintenance of dialysis access and restoration of distal perfusion in ischemic stealsyndrome. Semin Vasc Surg 2000;13:1–7.21. Wixon CL, Hughes JD, Mills JL. Understanding Strategies for the treatment ofIschemic Steal Syndrome after Hemodialysis Access. JACS 2000;191(3):301-310.22. Knox RC, Berman SS, Hughes JD, Gentile AT, Mills JL. Distal revascularizationintervalligation: a durable and effective treatment for ischemic steal syndrome afterhemodialysis access. J Vasc Surg 2002;36;250-6.23. Minion DJ, Moore E, Endean E. Revision using distal inflow: a novel approach todialysis-associated steal syndrome. Ann Vasc Surg 2005;19:625-28.24. Zanow J, Kruger U, Scholz H. Proximalization of the arterial inflow: A newtechnique to treat access-related ischemia. J Vasc Surg 2006;43:1216-1221.25. Gupta N, You TH, Konig G, Dillavou E, Leers SA, Chaer RA, et al. Treatmentstrategies of arterial steal after arteriovenous access. J Vasc Surg 2011;54(1):162-167.12213
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Program Book
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Needs AssessmentOver 370,000 patien
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ACKNOWLEDGEMENTSWe would like to th
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No relevant financial relationships
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2:25 pm Vascular Access Infections,
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ESRD in 2012: Socio-economicImpactJ
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Geographic variations in adjustedin
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Adjusted all-cause & cause specific
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ESRD-International ComparisonsPreva
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Outcomes for first-time wait-listed
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NOTES______________________________
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Vascular Access Planning andPreoper
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• Veins not circular but ovoid, m
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VENOGRAM+ -CFDI+ 17(true positive)-
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• Thorough preoperative assessmen
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NOTES______________________________
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Options and Strategies forUpper Ext
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Cimino (radiocephalic) AVFPotential
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Two Stage BBAVFStage 1 anastomosis
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Brachial Artery-Brachial Vein AVFSu
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Forearm AV GraftsLarge surface area
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Comparison of brachial-basilic AVfi
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Racial differences in AVfistula rat
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THANK YOU!46
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Lower ExtremityDialysis AccessAhmed
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Lower Extremity Dialysis AccessWhat
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Lower Extremity Dialysis AccessData
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Lower Extremity Dialysis AccessData
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Thank You!LLUMC56
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NOTES______________________________
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NOTES______________________________
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When to Break the Guidelines in Vas
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efore initiation of dialysis. It fu
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NOTES______________________________
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Vascular AccessSurveillanceIs it wo
Page 71 and 72: Monitoring Vs. SurveillanceClinical
Page 73 and 74: Vascular Access Surveillance• Obs
Page 75 and 76: Vascular Access SurveillanceRandomi
Page 77 and 78: Vascular Access SurveillanceRandomi
Page 79 and 80: So why does preemptiveangioplasty n
Page 81 and 82: • ConclusionAccess Surveillance
Page 83 and 84: Management of the Non-MaturingArter
Page 85 and 86: Specific Definition• “…use of
Page 87 and 88: AVF Maturation in Clinical Practice
Page 89 and 90: Hemodialysis Fistula MaturationCons
Page 91 and 92: Physical Exam of AVF• Has an accu
Page 93 and 94: Significant Accessory VeinsSurgical
Page 95 and 96: Venous Stenosis in AVF Body/Outflow
Page 97 and 98: Deep or Excessively Tortuous AVF•
Page 99 and 100: Robert Hye, MD September 27, 2012Ka
Page 101 and 102: Influence of Access Type onInfectio
Page 103 and 104: Prevention of HemodialysisAccess In
Page 105 and 106: Summary of CatheterManagement in CR
Page 107 and 108: Partial versus Total GraftExcision
Page 109 and 110: Infected Autogenous DialysisFistula
Page 111 and 112: Ischemic Steal Syndrome due to Hemo
Page 113 and 114: Figure 2: (From JACS 2000: Wixon et
Page 115 and 116: Theoretically the presence of a lar
Page 117 and 118: Treatment of Ischemic Steal Syndrom
Page 119 and 120: performing a femoral-femoral bypass
Page 121: Ligation may still be an option for
Page 125 and 126: David Shavelle, MD September 27, 20
Page 127 and 128: Definitions• Early (Primary) Fail
Page 129 and 130: Dual-Sheath TechniqueStep 1: Thromb
Page 131 and 132: Role of Stent Placement• Stenting
Page 133 and 134: ComplicationsPulmonary Embolism~10%
Page 135 and 136: PrePostMedical Therapy• Clopidogr
Page 137 and 138: Karen Woo, MD September 27, 2012Ass
Page 139 and 140: Dilation occurs over several years
Page 141 and 142: Replace with interposition graft◦
Page 143 and 144: Heparin Proximal and distal control
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Page 147 and 148: Perioperative variableOperative tim
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Page 151 and 152: POLICY ON CULTURAL AND LINGUISTIC C
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Program Book - Keck School of Medicine of USC - University of ...

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