Vascular Access Creation and Care--Perspective From India

Document Type

Article

Publication Date

11-1-2015

Publication Title

Advances in chronic kidney disease

Abstract

India has one of the fastest growing economies in the world and is home to nearly one sixth of world's population. Chronic diseases such as diabetes mellitus and hypertension are common. Kidney disease is a known complication of these chronic diseases and is on the rise. Improving affordability with advanced care delivery has led to the increasing use of maintenance hemodialysis. Along with this hemodialysis comes the inevitable need for vascular access. Interventional nephrology in India is a fast-evolving discipline and promises to be a critical component of hemodialysis care in the future. This review provides a background on the current state of the CKD burden in India and the various vascular access options in use currently. In addition, we describe the experience of 2 centers in western and southern India in managing vascular access needs in hopes that they will serve as a model of the proliferation of vascular access care throughout India and in other developing countries.

Medical Subject Headings

Arteriovenous Shunt, Surgical; Bacteremia; Constriction, Pathologic; Graft Occlusion, Vascular; Humans; India; Kidney Failure, Chronic; Nephrology; Postoperative Complications; Prosthesis-Related Infections; Renal Dialysis; Renal Insufficiency, Chronic; Vascular Grafting

PubMed ID

26524952

Volume

22

Issue

6

First Page

466

Last Page

470

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