title: An integrated vascular management programme.
abstract: This paper discusses the development of an integrated approach for the creation and maintenance of arteriovenous access (AVA), under the direction of a dedicated vascular access surgeon in close cooperation with the haemodialysis staff, involving pre-operative imaging, anaesthetic and surgical techniques together with a post-operative graft surveillance programme, in order to maximize autogenous arteriovenous access (AAVA) construction (the preferred access for haemodialysis patients with end-stage renal disease), and to improve patency rates for AAVA and prosthetic arteriovenous access (PAVA).
authors.affiliation: Department of Surgery and Haemodialysis Access Unit, Shaare Zedek Medical Centre, Jerusalem, Israel. shemeshd@szmc.org.il
authors.forename: David
authors.initials: D
authors.lastname: Shemesh
authors.forename: Oded
authors.initials: O
authors.lastname: Olsha
authors.forename: Daniel
authors.initials: D
authors.lastname: Berelowitz
authors.forename: Charles
authors.initials: C
authors.lastname: Zigelman
mesh_terms: D000465:Algorithms; D000556:Ambulatory Surgical Procedures; D001166:Arteriovenous Shunt, Surgical / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D006801:Humans; D010348:Patient Care Team / Q000458:organization & administration*; D011182:Postoperative Care; D011300:Preoperative Care; D006435:Renal Dialysis