title: Placement of permanent vascular access devices: surgical considerations.
abstract: The maintenance of adequate vascular access for hemodialysis is a challenge for all involved in the care of the patient on hemodialysis. Careful planning, early placement, a stepwise approach to vascular access, and careful observation for complications are necessary to assure the availability of long-term access. Above all, a coordinated approach involving the nephrologist, dialysis unit personnel, surgeon and radiologist is the best way to provide optimal, efficient care to the hemodialysis patient.
authors.affiliation: Division of General and Thoracic Surgery, Duke University Medical Center, Durham, NC 27710, USA.
authors.forename: R C
authors.initials: RC
authors.lastname: Harland
mesh_terms: D001166:Arteriovenous Shunt, Surgical; D002408:Catheters, Indwelling / Q000009:adverse effects; D006801:Humans; D008991:Monitoring, Physiologic; D011182:Postoperative Care; D006435:Renal Dialysis / Q000295:instrumentation* / Q000379:methods