title: [Problems related to hemodialysis vascular accesses: a regional network of care].
abstract: The number of patients treated by haemodialysis (HD) is continuously increasing. The complications associated with vascular accesses represent the first cause of hospitalisation in these patients. Since 2001 nephrologists, surgeons, angiologists and radiologists at the CHUV are working to develop a multidisciplinary model that includes planning and monitoring of HD accesses. In this setting the echo-Doppler represents an important tool of investigation. Every patient is discussed and decisions are taken during a weekly multidisciplinary meeting. A network has been created with nephrologists of peripheral centres and other specialists. This model allows to centralize investigational information and coordinate patient care while keeping and even developing some investigational activities and treatment in peripheral centres.
authors.affiliation: Service d'angiologie, Centre des maladies cardiovasculaires et métaboliques, CHUV-PMU, 1011 Lausanne. david.imsand@chuv.ch
authors.forename: David
authors.initials: D
authors.lastname: Imsand
authors.forename: Daniel
authors.initials: D
authors.lastname: Teta
authors.forename: François
authors.initials: F
authors.lastname: Saucy
authors.forename: Francesco
authors.initials: F
authors.lastname: Doenz
authors.forename: Salah Dine
authors.initials: SD
authors.lastname: Qanadli
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Corpataux
authors.forename: Michel
authors.initials: M
authors.lastname: Burnier
authors.forename: Lucia
authors.initials: L
authors.lastname: Mazzolai
authors.forename: Erik
authors.initials: E
authors.lastname: Haesler
mesh_terms: D001166:Arteriovenous Shunt, Surgical; D006801:Humans; D010348:Patient Care Team; D006435:Renal Dialysis; D013557:Switzerland