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Vascular Access Creation and Care--Perspective From India.

Krishnaswamy Sampathkumar1, Valentine Lobo1, Jeyaraj Balasubramaniam1

  • 1Department of Nephrology, Meenakshi Mission Hospital and Research Centre, Madurai, Tamil Nadu, India; Department of Nephrology, KEM Hospital, Pune, Maharashtra, India; Department of Nephrology, Kidney Care Centre, Tirunelveli, Tamil Nadu, India; Department of Nephrology, Goa Medical College, Goa, India; Department of Nephrology, University of Wisconsin, Madison, WI; Department of Nephrology, Henry Ford Hospital, Detroit, MI.

Advances in Chronic Kidney Disease
|November 4, 2015
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Summary

Chronic kidney disease (CKD) is rising in India due to diabetes and hypertension. This review covers CKD burden, hemodialysis vascular access options, and management experiences to guide future care in India and developing nations.

Keywords:
Arteriovenous fistulaBacteremiaInterventional nephrologyTunneled central vein cathetersVenous stenosis

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Area of Science:

  • Nephrology
  • Public Health
  • Vascular Access

Background:

  • India faces a growing burden of chronic kidney disease (CKD), linked to high rates of diabetes mellitus and hypertension.
  • Maintenance hemodialysis is increasingly utilized due to improved affordability and advanced care delivery.
  • Vascular access is essential for hemodialysis, presenting a critical challenge in CKD management.

Purpose of the Study:

  • To review the current landscape of CKD in India.
  • To discuss available vascular access options for hemodialysis.
  • To present case studies from Indian centers as a model for broader implementation.

Main Methods:

  • Literature review on CKD prevalence and management in India.
  • Analysis of current vascular access techniques and their application.
  • Case series detailing vascular access management in two distinct Indian healthcare settings.

Main Results:

  • The review highlights the increasing prevalence of CKD and the growing demand for effective vascular access solutions.
  • Experience from two centers demonstrates successful management strategies for vascular access in hemodialysis patients.
  • Interventional nephrology is identified as a crucial and rapidly developing field for addressing these needs.

Conclusions:

  • Effective vascular access management is paramount for successful hemodialysis in India.
  • The presented experiences can serve as a scalable model for improving CKD care in India and other developing countries.
  • Further development and integration of interventional nephrology services are essential for advancing hemodialysis care nationwide.