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Review of maintenance and surveillance of dialysis access 透析途径维持和监测的审查。
IF 3.3 3区 医学
Seminars in Vascular Surgery Pub Date : 2024-12-01 DOI: 10.1053/j.semvascsurg.2024.10.008
Shayna Brathwaite , Amber B. Kernodle , Nader N. Massarweh , Olamide Alabi
{"title":"Review of maintenance and surveillance of dialysis access","authors":"Shayna Brathwaite ,&nbsp;Amber B. Kernodle ,&nbsp;Nader N. Massarweh ,&nbsp;Olamide Alabi","doi":"10.1053/j.semvascsurg.2024.10.008","DOIUrl":"10.1053/j.semvascsurg.2024.10.008","url":null,"abstract":"<div><div>Vascular access is an essential component of the Patient Life-Plan, Access Needs for patients with end-stage kidney disease requiring kidney replacement therapy with hemodialysis. Central venous catheter use is associated with high morbidity and mortality. As such, arteriovenous access (AVA) is the preferred modality for hemodialysis. Although AVA is preferred, maturation and functional patency after creation can be a challenge to achieve. A significant proportion of AVAs fail to mature, require reinterventions to achieve maturation, or cannot be successfully cannulated and used reliably for hemodialysis, despite physiologic maturation. Thus, most patients on hemodialysis require multiple AVA procedures throughout their lifetime. A thoughtful and deliberate strategy to create, maintain, survey, and troubleshoot AVA is required. In this review, autogenous AVA maturation, maintenance, and surveillance strategies to prolong the life of AVA for patients requiring hemodialysis are discussed.</div></div>","PeriodicalId":51153,"journal":{"name":"Seminars in Vascular Surgery","volume":"37 4","pages":"Pages 387-393"},"PeriodicalIF":3.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of dialysis on peripheral arterial disease 透析对外周动脉疾病的影响。
IF 3.3 3区 医学
Seminars in Vascular Surgery Pub Date : 2024-12-01 DOI: 10.1053/j.semvascsurg.2024.09.001
Sean C. Liebscher, Daniel J. Bertges
{"title":"Effects of dialysis on peripheral arterial disease","authors":"Sean C. Liebscher,&nbsp;Daniel J. Bertges","doi":"10.1053/j.semvascsurg.2024.09.001","DOIUrl":"10.1053/j.semvascsurg.2024.09.001","url":null,"abstract":"<div><div>End-stage renal disease is an independent risk factor for the development of peripheral arterial disease, with considerably worse outcomes in patients with concomitant diseases. It is important to realize the widespread, yet frequently asymptomatic, nature of peripheral arterial disease in patients with end-stage renal disease due to the presence of other comorbidities that decrease activity levels and sensation to allow for early recognition and timely medical management to try and mitigate otherwise poor outcomes. Despite their high risk, properly selected patients derive benefit from revascularization; both open and endovascular approaches provide similar outcomes in terms of overall survival, amputation-free survival, and limb salvage, with perhaps a slight preference toward open repair. This narrative review of the literature evaluates the epidemiology, pathophysiology, outcomes, and management strategies that provide the best possible outcomes for patients with peripheral arterial disease and end-stage renal disease.</div></div>","PeriodicalId":51153,"journal":{"name":"Seminars in Vascular Surgery","volume":"37 4","pages":"Pages 412-418"},"PeriodicalIF":3.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management of dialysis access in the post-transplantation patient 移植后患者透析通路的管理。
IF 3.3 3区 医学
Seminars in Vascular Surgery Pub Date : 2024-12-01 DOI: 10.1053/j.semvascsurg.2024.10.005
Lindsay Lynch, Kevin Chang, Ashlee Stutsrim, Maureen Sheehan, Matthew Edwards
{"title":"Management of dialysis access in the post-transplantation patient","authors":"Lindsay Lynch,&nbsp;Kevin Chang,&nbsp;Ashlee Stutsrim,&nbsp;Maureen Sheehan,&nbsp;Matthew Edwards","doi":"10.1053/j.semvascsurg.2024.10.005","DOIUrl":"10.1053/j.semvascsurg.2024.10.005","url":null,"abstract":"<div><div>Arteriovenous fistula (AVF) is the preferred access for hemodialysis in patients with end-stage renal disease, and arteriovenous grafts are used when AVF creation is not feasible. Post renal transplantation, hemodialysis may be needed due to delayed graft function or transplantation failure. This review aimed to summarize current evidence on the impact of maintaining versus ligating AV access on renal function and cardiovascular outcomes post transplantation. A comprehensive review of literature was conducted, analyzing studies on the effects of AVF and AV graft maintenance or ligation on renal and cardiovascular outcomes in patients post transplantation. Evidence indicates that maintaining AVF post transplantation is associated with higher estimated glomerular filtration rate and better renal function retention, but poses risks for cardiovascular complications, such as left ventricular hypertrophy. Ligation of AVF is linked to improved cardiovascular outcomes, including reduced N-terminal pro-B-type natriuretic peptide levels, but may lead to a greater decline in estimated glomerular filtration rate. No significant difference in long-term renal allograft survival was observed between maintaining and ligating AV access. The decision to maintain or ligate AV access in patients post renal transplantation should be individualized, considering both renal function preservation and cardiovascular health. Although maintaining AVF may benefit renal function, it poses cardiovascular risks, whereas ligation can mitigate these risks without significantly affecting allograft survival.</div></div>","PeriodicalId":51153,"journal":{"name":"Seminars in Vascular Surgery","volume":"37 4","pages":"Pages 407-411"},"PeriodicalIF":3.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Peritoneal dialysis catheter insertion and maintenance 腹膜透析导管的插入和维护。
IF 3.3 3区 医学
Seminars in Vascular Surgery Pub Date : 2024-12-01 DOI: 10.1053/j.semvascsurg.2024.10.002
James J. Wynn
{"title":"Peritoneal dialysis catheter insertion and maintenance","authors":"James J. Wynn","doi":"10.1053/j.semvascsurg.2024.10.002","DOIUrl":"10.1053/j.semvascsurg.2024.10.002","url":null,"abstract":"<div><div>The treatment of end-stage kidney disease (ESKD with peritoneal dialysis (PD) continues to increase. Timely initiation of PD is dependent on successful PD catheter placement, which can be performed using open or laparoscopic surgical or percutaneous techniques. Dialysis access surgeons who incorporate PD catheter insertion in their practice can uniquely offer comprehensive access services to their patients. This review discusses the various methods of PD catheter insertion, patient conditions that impact surgical decision-making, and the management of catheter-related complications.</div></div>","PeriodicalId":51153,"journal":{"name":"Seminars in Vascular Surgery","volume":"37 4","pages":"Pages 375-386"},"PeriodicalIF":3.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Alternatives for exhausted dialysis access 用尽透析通道的替代方案。
IF 3.3 3区 医学
Seminars in Vascular Surgery Pub Date : 2024-12-01 DOI: 10.1053/j.semvascsurg.2024.10.003
Laura B. Pride, Edwyn J. Assaf, Lauren N. West-Livingston, Christina L. Cui, Tristen T. Chun, Chandler A. Long
{"title":"Alternatives for exhausted dialysis access","authors":"Laura B. Pride,&nbsp;Edwyn J. Assaf,&nbsp;Lauren N. West-Livingston,&nbsp;Christina L. Cui,&nbsp;Tristen T. Chun,&nbsp;Chandler A. Long","doi":"10.1053/j.semvascsurg.2024.10.003","DOIUrl":"10.1053/j.semvascsurg.2024.10.003","url":null,"abstract":"<div><div>Hemodialysis (HD) access failure is a frequent problem encountered by vascular surgeons. As treatment of end-stage renal disease improves and patients live longer on HD, eventual exhaustion of traditional upper extremity HD access is common. Efforts to preserve and maintain these accesses are essential. However, when they fail, alternative surgical access options should be pursued prior to destination-tunneled dialysis catheters. Hemodialysis Reliable Outflow grafts as well as various configurations of lower extremity arteriovenous fistulae and grafts can be utilized. For most alternative HD access options, there is a paucity of data for long-term patency, cost, and risk of infectious or ischemic complications compared to traditional options. However, smaller studies examining Hemodialysis Reliable Outflow grafts, femoral vein transposition, and lower extremity grafts show acceptable safety and efficacy. Depending on the cause of traditional access failure and patient-specific anatomic constraints, we recommend a systematic approach to alternative access creation, with destination-tunneled dialysis catheters reserved as a last resort. The most common cause of HD access failure is venous outflow obstruction. As such, we have structured this manuscript around a meta-analysis of retrospective studies describing nontraditional access options that can be utilized with escalating degrees of central venous stenosis or occlusion.</div></div>","PeriodicalId":51153,"journal":{"name":"Seminars in Vascular Surgery","volume":"37 4","pages":"Pages 400-406"},"PeriodicalIF":3.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preparing a dialysis patient 为透析患者做准备
IF 3.3 3区 医学
Seminars in Vascular Surgery Pub Date : 2024-12-01 DOI: 10.1053/j.semvascsurg.2024.10.004
Thomas Coleman , Ayan Dasgupta , Christopher G. Carsten III
{"title":"Preparing a dialysis patient","authors":"Thomas Coleman ,&nbsp;Ayan Dasgupta ,&nbsp;Christopher G. Carsten III","doi":"10.1053/j.semvascsurg.2024.10.004","DOIUrl":"10.1053/j.semvascsurg.2024.10.004","url":null,"abstract":"<div><div>Preparing a dialysis patient for access placement is a process that should ideally begin well before the need for access use. Unfortunately, this is often not the case and patients are often seen well after dialysis has been initiated with a catheter. The process should include a detail-oriented history and a thorough vascular oriented physical examination. A complete history and physical exam will help tailor access options in individual patients. The KDOQI guideline structures the selection and timing of dialysis access, ensuring each patient's medical circumstances and preferences are taken into account. The preparation of a dialysis patient should also include discussion with the patient in regard to their values and expectations before coming to a life-long plan for the patient. This holistic approach aims to achieve reliable and functioning access while preserving future options and improving patient outcomes. This following review will cover the elements of both as well as adjunctive imaging modalities and their indications to allow for successful access placement.</div></div>","PeriodicalId":51153,"journal":{"name":"Seminars in Vascular Surgery","volume":"37 4","pages":"Pages 364-368"},"PeriodicalIF":3.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Navigating through e-Health transformation in vascular surgery 为血管外科的电子健康转型导航
IF 3.3 3区 医学
Seminars in Vascular Surgery Pub Date : 2024-09-01 DOI: 10.1053/j.semvascsurg.2024.08.003
Fabien Lareyre (Guest Editors) , Juliette Raffort
{"title":"Navigating through e-Health transformation in vascular surgery","authors":"Fabien Lareyre (Guest Editors) ,&nbsp;Juliette Raffort","doi":"10.1053/j.semvascsurg.2024.08.003","DOIUrl":"10.1053/j.semvascsurg.2024.08.003","url":null,"abstract":"","PeriodicalId":51153,"journal":{"name":"Seminars in Vascular Surgery","volume":"37 3","pages":"Pages 279-280"},"PeriodicalIF":3.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142182000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
3‐Dimensional printing in vascular disease: From manufacturer to clinical use 血管疾病中的三维打印：从制造商到临床应用
IF 3.3 3区 医学
Seminars in Vascular Surgery Pub Date : 2024-09-01 DOI: 10.1053/j.semvascsurg.2024.08.002
Bahaa Nasr , Fabien Lareyre , Samuel Guigo , Kevin Bellenger , Juliette Raffort , Yann Gouëffic
{"title":"3‐Dimensional printing in vascular disease: From manufacturer to clinical use","authors":"Bahaa Nasr ,&nbsp;Fabien Lareyre ,&nbsp;Samuel Guigo ,&nbsp;Kevin Bellenger ,&nbsp;Juliette Raffort ,&nbsp;Yann Gouëffic","doi":"10.1053/j.semvascsurg.2024.08.002","DOIUrl":"10.1053/j.semvascsurg.2024.08.002","url":null,"abstract":"<div><p>Three-dimensional (3D) printing has been used in medicine with applications in many different fields. 3D printing allows patient education, interventionalists training, preprocedural planning, and assists the interventionalist to improve treatment outcomes. 3D printing represents a potential advancement by allowing the printing of flexible vascular models. In this article, the authors report a clinical case using 3D printing to perform a physician-modified fenestrated endograft. An overview of 3D printing in vascular and endovascular surgery is provided, focusing on its potential applications for training, education, preprocedural planning, and current clinical applications.</p></div>","PeriodicalId":51153,"journal":{"name":"Seminars in Vascular Surgery","volume":"37 3","pages":"Pages 326-332"},"PeriodicalIF":3.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142181846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Extended and augmented reality in vascular surgery: Opportunities and challenges 血管外科中的扩展和增强现实技术：机遇与挑战
IF 3.3 3区 医学
Seminars in Vascular Surgery Pub Date : 2024-09-01 DOI: 10.1053/j.semvascsurg.2024.07.003
Fabien Lareyre , Claude Mialhe , Bahaa Nasr , Elise Poggi , Gilles Di Lorenzo , Khalid Rajhi , Arindam Chaudhuri , Juliette Raffort
{"title":"Extended and augmented reality in vascular surgery: Opportunities and challenges","authors":"Fabien Lareyre ,&nbsp;Claude Mialhe ,&nbsp;Bahaa Nasr ,&nbsp;Elise Poggi ,&nbsp;Gilles Di Lorenzo ,&nbsp;Khalid Rajhi ,&nbsp;Arindam Chaudhuri ,&nbsp;Juliette Raffort","doi":"10.1053/j.semvascsurg.2024.07.003","DOIUrl":"10.1053/j.semvascsurg.2024.07.003","url":null,"abstract":"<div><p>Extended reality has brought new opportunities for medical imaging visualization and analysis. It regroups various subfields, including virtual reality, augmented reality, and mixed reality. Various applications have been proposed for surgical practice, as well as education and training. The aim of this review was to summarize current applications of extended reality and augmented reality in vascular surgery, highlighting potential benefits, pitfalls, limitations, and perspectives on improvement.</p></div>","PeriodicalId":51153,"journal":{"name":"Seminars in Vascular Surgery","volume":"37 3","pages":"Pages 321-325"},"PeriodicalIF":3.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141852991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Digital twin and artificial intelligence technologies for predictive planning of endovascular procedures 预测性规划血管内手术的数字孪生和人工智能技术
IF 3.3 3区 医学
Seminars in Vascular Surgery Pub Date : 2024-09-01 DOI: 10.1053/j.semvascsurg.2024.07.002
Jean-Noël Albertini , Lucie Derycke , Antoine Millon , Raphael Soler
{"title":"Digital twin and artificial intelligence technologies for predictive planning of endovascular procedures","authors":"Jean-Noël Albertini ,&nbsp;Lucie Derycke ,&nbsp;Antoine Millon ,&nbsp;Raphael Soler","doi":"10.1053/j.semvascsurg.2024.07.002","DOIUrl":"10.1053/j.semvascsurg.2024.07.002","url":null,"abstract":"<div><p>Current planning of aortic and peripheral endovascular procedures is based largely on manual measurements performed from the 3-dimensional reconstruction of preoperative computed tomography scans. Assessment of device behavior inside patient anatomy is often difficult, and available tools, such as 3-dimensional–printed models, have several limitations. Digital twin (DT) technology has been used successfully in automotive and aerospace industries and applied recently to endovascular aortic aneurysm repair. Artificial intelligence allows the treatment of large amounts of data, and its use in medicine is increasing rapidly. The aim of this review was to present the current status of DTs combined with artificial intelligence for planning endovascular procedures. Patient-specific DTs of the aorta are generated from preoperative computed tomography and integrate aorta mechanical properties using finite element analysis. The same methodology is used to generate 3-dimensional models of aortic stent-grafts and simulate their deployment. Post processing of DT models is then performed to generate multiple parameters related to stent-graft oversizing and apposition. Machine learning algorithms allow parameters to be computed into a synthetic index to predict Type 1A endoleak risk. Other planning and sizing applications include custom-made fenestrated and branched stent-grafts for complex aneurysms. DT technology is also being investigated for planning peripheral endovascular procedures, such as carotid artery stenting. DT provides detailed information on endovascular device behavior. Analysis of DT-derived parameters with machine learning algorithms may improve accuracy in predicting complications, such as Type 1A endoleaks.</p></div>","PeriodicalId":51153,"journal":{"name":"Seminars in Vascular Surgery","volume":"37 3","pages":"Pages 306-313"},"PeriodicalIF":3.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141853310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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