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Computed Tomography (CT) Guided Implantation of a Totally Implantable Venous Access Port (TIVAP) through Subclavian Vein
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Vascular access: the past, present and future.

Jeffrey J Sands1

  • 1Renal Therapies Group, Fresenius Medical Care NA, Celebration, Fla. 34747, USA. Jeffrey.Sands@fmc-na.com

Blood Purification
|January 27, 2009
PubMed
Summary
This summary is machine-generated.

Vascular access management has improved significantly, making arteriovenous fistulae the preferred choice. Addressing challenges like catheter use is crucial to reduce infections and improve patient outcomes.

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Area of Science:

  • Nephrology
  • Vascular Surgery
  • Public Health

Background:

  • Over 40 years, vascular access management has evolved, improving patient outcomes and reducing access failure rates.
  • Arteriovenous fistulae are now the preferred vascular access method, with new therapies revolutionizing treatment.
  • Evidence-based guidelines and outcome data have standardized vascular access care.

Purpose of the Study:

  • To review advancements in vascular access management over the past four decades.
  • To highlight current challenges, particularly the rise in catheter use and associated risks.
  • To discuss future technologies and the importance of standardized systems for patient benefit.

Main Methods:

  • Review of historical data and clinical outcomes in vascular access.
  • Analysis of current trends in access modalities and their impact.
  • Examination of evidence-based guidelines and international outcome data.

Main Results:

  • Significant decrease in access failure rates attributed to improved management.
  • Resurgence of arteriovenous fistulae as the primary access of choice.
  • Increased use of catheters presents challenges, leading to higher morbidity and mortality.

Conclusions:

  • Continued improvements in vascular access management have enhanced patient outcomes.
  • Urgent attention is needed to address the risks associated with increased catheter use and infection rates.
  • Future advancements depend on appropriate application, standardized systems, and supportive payment models.