View : 71 Download: 0

Current state of dialysis access management in Korea

Title
Current state of dialysis access management in Korea
Authors
Kim, Yong-SooKim, YaeniShin, Seok JoonLee, Hyung SeokKim, Sung GyunCho, SeongNa, Ki RyangKim, Jin KukKim, Seung JungKim, Young OkJin, Dong-ChanKorean Soc Diagnostic Intervention
Ewha Authors
김승정
SCOPUS Author ID
김승정scopus
Issue Date
2019
Journal Title
JOURNAL OF VASCULAR ACCESS
ISSN
1129-7298JCR Link

1724-6032JCR Link
Citation
JOURNAL OF VASCULAR ACCESS vol. 20, pp. 15 - 19
Keywords
Renal replacement therapyvascular accessperitoneal accessinterventional nephrology
Publisher
SAGE PUBLICATIONS LTD
Indexed
SCIE; SCOPUS WOS scopus
Document Type
Article

Proceedings Paper
Abstract
The prevalence rate and the incidence rate of hemodialysis and functioning kidney transplant recipients have continuously increased; on the contrary, those of peritoneal dialysis have continuously decreased since 2006. Dialysis patients have been getting older and have been maintained on dialysis longer. Diabetic nephropathy was the leading cause of end stage renal disease. The type of hemodialysis vascular access has been stable during the last 5 years (arteriovenous fistulas 76%, arteriovenous grafts 16%, central venous catheters 8% at 2016). Peritoneal dialysis catheter was mostly inserted surgically (67%), and swan neck straight tip peritoneal dialysis catheter was the most commonly used (48%). Vascular access was managed by radiologists and surgeons, and the management was fragmented among them in the past. However, since the nephrologists became interested in and knowledgeable about the vascular access, they began to play roles in vascular access management. Vascular access has been mostly created by vascular surgeons (approximate to 60%); tunneled central venous hemodialysis catheter insertion and endovascular intervention such as percutaneous transluminal angioplasty (PTA) and thrombectomy have been mostly performed by radiologists (approximate to 70%). Tunneled hemodialysis catheter insertion and endovascular intervention by nephrologists have slowly but consistently increased. Recently, the number of central venous hemodialysis catheter insertion has decreased, and tunneled hemodialysis catheter has been inserted more than non-tunneled hemodialysis catheter, indicating that vascular access has been created timely and the vascular access team has been educated about and following international guidelines.
DOI
10.1177/1129729818776913
Appears in Collections:
의과대학 > 의학과 > Journal papers
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE