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Updated: Jul 11, 2026

Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Interventional nephrology: from episodic to coordinated vascular access care.
Arif Asif1, Anatole Besarab, Prabir Roy-Chaudhury
1Division of Nephrology, Department of Medicine, Miller School of Medicine, University of Miami, Miami, FL 33136, USA. aasif@med.miami.edu
Nephrologists performing dialysis access procedures improves patient care by reducing delays and hospitalizations. Specialized training ensures nephrologists can safely and effectively perform these interventions, enhancing outcomes for renal replacement therapy.
Area of Science:
- Interventional Nephrology
- Vascular Access Procedures
Background:
- Nephrologists are increasingly performing vascular access procedures.
- Their unique perspective on renal replacement therapy makes them well-suited for these interventions.
- This shift aims to improve patient care and reduce healthcare costs.
Purpose of the Study:
- To highlight the benefits of nephrologists performing vascular access procedures.
- To emphasize the importance of specialized training for interventional nephrology.
- To discuss the advancements and future of interventional nephrology.
Main Methods:
- Review of vascular access interventions performed by nephrologists.
- Analysis of outcomes and safety data for interventional nephrology.
- Discussion of training guidelines and certification by the American Society of Diagnostic and Interventional Nephrology (ASDIN).
Main Results:
- Nephrologist-performed procedures minimize delays, reduce hospitalizations, and decrease temporary catheter use.
- Interventional nephrology approach demonstrates safety and success with excellent outcomes.
- ASDIN provides guidelines and certification, promoting quality assurance.
Conclusions:
- Nephrologists performing vascular access procedures significantly improves patient care, convenience, and cost-effectiveness.
- Appropriate training is critical for nephrologists to become competent interventionalists.
- Further development of training programs and increased awareness are needed for the subspecialty's growth.
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Chronic Kidney Disease III: Interprofessional Care
Acute Kidney Injury IV: Diagnostic Studies and Prevention
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Hemodialysis II: Procedure and Complications
Continuous Renal Replacement Therapy

