Asif Arif
Section of Interventional Nephrology, Division of Nephrology, University of Miami Leonard A. Miller School of Medicine, Miami, Fla., USA.
Contrib Nephrol. 2008;161:30-38. doi: 10.1159/000129751.
Vascular access-related procedures commonly performed by nephrologists include percutaneous balloon angioplasty, intravascular coil and stent insertion, thrombectomy, vascular mapping and tunneled hemodialysis catheter-related procedures. In addition, using vein obliteration and percutaneous balloon angioplasty techniques, nephrologists have recently documented successful salvage of arteriovenous fistulas that had failed to mature, whereas traditionally these fistulas have frequently been abandoned. While the performance of these procedures by nephrologists offers many advantages, appropriate training in order to develop the necessary procedural skills is critical. Recent data have emphasized that a nephrologist can be successfully trained to become a competent interventionalist. In addition to documenting excellent outcome data, multiple reports have demonstrated the safety and success of interventional nephrology. This report focuses on hemodialysis access-related procedures performed by nephrologists and calls for a proactive approach in optimizing this aspect of patient care.
肾脏病学家通常进行的与血管通路相关的操作包括经皮球囊血管成形术、血管内线圈和支架置入术、血栓切除术、血管造影和带隧道的血液透析导管相关操作。此外，通过使用静脉闭塞和经皮球囊血管成形术技术，肾脏病学家最近已证明成功挽救了未能成熟的动静脉内瘘，而传统上这些内瘘常常被废弃。虽然肾脏病学家进行这些操作有许多优点，但进行适当培训以培养必要的操作技能至关重要。最近的数据强调，肾脏病学家可以通过成功培训成为一名合格的介入专家。除了记录出色的结果数据外，多篇报告已证明介入肾脏病学的安全性和成功率。本报告重点关注肾脏病学家进行的与血液透析通路相关的操作，并呼吁采取积极主动的方法来优化患者护理的这一方面。
