Program Book - Keck School of Medicine of USC - University of ...
Program Book - Keck School of Medicine of USC - University of ...
Program Book - Keck School of Medicine of USC - University of ...
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Vascular AccessSurveillanceIs it worth it?Christian Ochoa, MDVascular Surgery<strong>Keck</strong> Hospital <strong>of</strong> <strong>USC</strong>Vascular Access• End Stage Renal Disease and vascular accesscontinues to rise.• May 2011, the AVF rate reached 58.6%• Tunneled catheters can increase complicationsand mortality• Vascular access complications• Infection• Stenosis• Thrombosis• Access lossVascular Access• Problems with Vascular Access• Low flow rates• Inability to clear Urea and other metabolites• Extended treatment times• Frequent hospitalizations• A total <strong>of</strong> 8% <strong>of</strong> Medicare spending is used for theoptimization <strong>of</strong> vascular access• So what can we do?68
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