title: Vascular Access Creation and Care--Perspective From India.
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.
authors.affiliation: Department of Nephrology, Meenakshi Mission Hospital and Research Centre, Madurai, Tamil Nadu, India; Department of Nephrology, KEM Hospital, Pune, Maharashtra, India; Department of Nephrology, Kidney Care Centre, Tirunelveli, Tamil Nadu, India; Department of Nephrology, Goa Medical College, Goa, India; Department of Nephrology, University of Wisconsin, Madison, WI; Department of Nephrology, Henry Ford Hospital, Detroit, MI. Electronic address: drksampath@gmail.com.
authors.forename: Krishnaswamy
authors.initials: K
authors.lastname: Sampathkumar
authors.affiliation: Department of Nephrology, Meenakshi Mission Hospital and Research Centre, Madurai, Tamil Nadu, India; Department of Nephrology, KEM Hospital, Pune, Maharashtra, India; Department of Nephrology, Kidney Care Centre, Tirunelveli, Tamil Nadu, India; Department of Nephrology, Goa Medical College, Goa, India; Department of Nephrology, University of Wisconsin, Madison, WI; Department of Nephrology, Henry Ford Hospital, Detroit, MI.
authors.forename: Valentine
authors.initials: V
authors.lastname: Lobo
authors.affiliation: Department of Nephrology, Meenakshi Mission Hospital and Research Centre, Madurai, Tamil Nadu, India; Department of Nephrology, KEM Hospital, Pune, Maharashtra, India; Department of Nephrology, Kidney Care Centre, Tirunelveli, Tamil Nadu, India; Department of Nephrology, Goa Medical College, Goa, India; Department of Nephrology, University of Wisconsin, Madison, WI; Department of Nephrology, Henry Ford Hospital, Detroit, MI.
authors.forename: Jeyaraj
authors.initials: J
authors.lastname: Balasubramaniam
authors.affiliation: Department of Nephrology, Meenakshi Mission Hospital and Research Centre, Madurai, Tamil Nadu, India; Department of Nephrology, KEM Hospital, Pune, Maharashtra, India; Department of Nephrology, Kidney Care Centre, Tirunelveli, Tamil Nadu, India; Department of Nephrology, Goa Medical College, Goa, India; Department of Nephrology, University of Wisconsin, Madison, WI; Department of Nephrology, Henry Ford Hospital, Detroit, MI.
authors.forename: Amol
authors.initials: A
authors.lastname: Mahaldar
authors.affiliation: Department of Nephrology, Meenakshi Mission Hospital and Research Centre, Madurai, Tamil Nadu, India; Department of Nephrology, KEM Hospital, Pune, Maharashtra, India; Department of Nephrology, Kidney Care Centre, Tirunelveli, Tamil Nadu, India; Department of Nephrology, Goa Medical College, Goa, India; Department of Nephrology, University of Wisconsin, Madison, WI; Department of Nephrology, Henry Ford Hospital, Detroit, MI.
authors.forename: Alexander S
authors.initials: AS
authors.lastname: Yevzlin
authors.affiliation: Department of Nephrology, Meenakshi Mission Hospital and Research Centre, Madurai, Tamil Nadu, India; Department of Nephrology, KEM Hospital, Pune, Maharashtra, India; Department of Nephrology, Kidney Care Centre, Tirunelveli, Tamil Nadu, India; Department of Nephrology, Goa Medical College, Goa, India; Department of Nephrology, University of Wisconsin, Madison, WI; Department of Nephrology, Henry Ford Hospital, Detroit, MI.
authors.forename: Lalathaksha
authors.initials: L
authors.lastname: Kumbar
mesh_terms: D001166:Arteriovenous Shunt, Surgical / Q000379:methods*; D016470:Bacteremia / Q000175:diagnosis; D003251:Constriction, Pathologic / Q000175:diagnosis; D006083:Graft Occlusion, Vascular / Q000175:diagnosis; D006801:Humans; D007194:India / Q000453:epidemiology; D007676:Kidney Failure, Chronic / Q000453:epidemiology / Q000628:therapy*; D009398:Nephrology / Q000379:methods*; D011183:Postoperative Complications / Q000175:diagnosis; D016459:Prosthesis-Related Infections / Q000175:diagnosis; D006435:Renal Dialysis / Q000379:methods*; D051436:Renal Insufficiency, Chronic / Q000453:epidemiology; D058017:Vascular Grafting / Q000379:methods*
keywords: Arteriovenous fistula; Bacteremia; Interventional nephrology; Tunneled central vein catheters; Venous stenosis