Vascular access outcome with a dedicated vascular team based approach.

Area of Science:

• Nephrology
• Vascular Surgery
• Healthcare Management

Background:

• Vascular access is crucial for hemodialysis.
• Complications can lead to access failure and increased morbidity.
• Early detection and management of issues are vital for optimal outcomes.

Purpose of the Study:

• To evaluate the impact of a dedicated vascular access team.
• To assess the team's role in early complication detection.
• To determine the effect on vascular access patency and outcomes.

Main Methods:

• A multidisciplinary vascular access team was established.
• The team conducted surveillance and care for all vascular accesses.
• Problematic cases were reviewed, with interventions like fistulograms and angioplasty performed as needed.

Main Results:

• Vascular access stenosis was detected in 81.3% of evaluated cases.
• Angioplasty was performed in 89.5% of patients with stenosis.
• A dedicated team approach was associated with improved vascular access outcomes and early complication identification.

Conclusions:

• A dedicated vascular team effectively identifies and manages vascular access complications.
• This specialized approach improves vascular access patency and patient outcomes in dialysis.
• Proactive surveillance and timely intervention are key to successful vascular access management.