Dialysis Access

I

Introduction

• 1.

  In the first quarter of 2014, 671,851 patients were treated for end-stage renal disease (ESRD).

• 2.

  In 2013, the number of people on the kidney transplant list was 5 times greater than the number of people who received a transplant.

• 3.

  2006 National Kidney Disease Outcomes Quality Initiative (K/DOQI)

  • a.

    An initiative that set a goal of arteriovenous (AV) fistula target rate greater than 65% with catheter rate less than 10%

  • b.

    Due to fact that AV fistula has best long-term primary patency rates, has lowest rates of thrombosis, requires fewest secondary interventions, and has the lowest overall morbidity and mortality when compared with other modalities of dialysis access

• 4.

  All patients on dialysis should be considered for kidney transplant and referred to a transplant program for evaluation, especially if dialysis access sites become limited.

II

General Overview of Dialysis Access Types

III

Dialysis Catheters