Options for Dialysis and Vascular Access Creation

Yana Etkin; Karen Woo; London Guidry

doi:10.1016/j.suc.2023.05.006

Options for Dialysis and Vascular Access Creation

Surg Clin North Am. 2023 Aug;103(4):673-684. doi: 10.1016/j.suc.2023.05.006. Epub 2023 Jun 1.

Authors

Yana Etkin¹, Karen Woo², London Guidry³

Affiliations

¹ Division of Vascular and Endovascular Surgery, Department of Surgery, Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA.
² Division of Vascular Surgery, Department of Surgery, David Geffen School of Medicine at UCLA, 200 UCLA Medical Plaza Suite 526, Los Angeles, CA 90095, USA. Electronic address: kwoo@mednet.ucla.edu.
³ Division of Vascular and Endovascular Surgery, Department of Surgery, Louisiana State University Health and Science Center, New Orleans, LA, USA.

PMID: 37455031
DOI: 10.1016/j.suc.2023.05.006

Abstract

End-stage kidney disease (ESKD) affects nearly 800,000 patients in the United States. The choice of peritoneal dialysis (PD) versus hemodialysis (HD) should be patient centric. An ESKD Life-Plan is crucial with the goal of creating the right access, for the right patient, at the right time, for the right reason. Complex access should be considered when straightforward access options have been exhausted. Evolving techniques such as percutaneous access for HD and PD should be further investigated. Shared decision-making and palliative care is an essential part of the care of patients with CKD and ESKD..

Keywords: Arteriovenous fistula; Arteriovenous graft; Dialysis access; HD; Peritoneal dialysis; Tunneled dialysis catheter.

Publication types

Review

MeSH terms

Arteriovenous Shunt, Surgical*
Catheterization, Central Venous*
Humans
Kidney Failure, Chronic* / therapy
Peritoneal Dialysis*
Renal Dialysis
United States