Peripheral arterial disease in hemodialysis access

Akshita S. Pillai, Girish Kumar, Sanjeeva Kalva

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations

Abstract

Renal failure is a significant risk factor for developing peripheral artery disease. Hemodialysis is the major form of renal replacement therapy in the United States. The success of maintaining sufficient blood flow through a hemodialysis access circuit is dependent on many factors including a robust arterial inflow. Failure to mature, insufficient blood flow, frequent thrombosis and steal syndrome are consequences of peripheral artery disease impairing the arterial inflow of a dialysis access circuit. Careful pre-procedure evaluation, endovascular interventions such as balloon angioplasty/stent placement and surgery can prevent and/or treat early access failure and ischemic complications related to peripheral arterial disease.

Original languageEnglish (US)
Title of host publicationDialysis Access Management
Subtitle of host publicationSecond Edition
PublisherSpringer International Publishing
Pages165-177
Number of pages13
ISBN (Electronic)9783030529949
ISBN (Print)9783030529932
DOIs
StatePublished - Jan 20 2021
Externally publishedYes

Keywords

  • Brachial artery
  • Peripheral artery disease
  • Primary patency
  • Subclavian artery
  • Ulnar artery

ASJC Scopus subject areas

  • General Medicine

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