How Cleveland Clinic physicians are reimagining the dialysis vascular access strategy in an acute care setting.
An effort to improve the experience and quality of life for dialysis patients has given impetus to major innovations in access creation and patency.
More interventional nephrologists are needed to provide vascular access care for patients on dialysis. New curriculum will standardize training worldwide.
The Kidney Disease Outcomes Quality Initiative (KDOQI) Practice Guideline for Vascular Access was recently updated to better reflect patient-centered care. Tushar Vachharajani, MD, Cleveland Clinic’s Director of Interventional Nephrology and Global Nephrology and a member of the KDOQI guidelines writing committee, discusses the new approach and acknowledges that the fistula is not always an optimal access point.
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Buttonhole cannulation used for hemodialysis is a controversial technique. If done incorrectly – or inconsistently – it can lead to local and systemic infections. Tushar Vachharajani, MD, Director of Interventional Nephrology and Global Nephrology at Cleveland Clinic, weighs in on this technique and shares why it can be the “right access in the right patient.”