Rasmussen R L
Dialysis Access Center, Alta Bates Hospital, Berkeley, Calif., USA.
Nephrol News Issues. 1998 Jun;12(6):61-3.
Nephrologists are familiar with the attention to detail and the arduous process of starting dialysis units. This familiarity gives them the foundation to start a dialysis access center. Nephrologists care for some of the most critically ill patients and perform minimally invasive procedures which allows them to adapt their skills to interventional nephrology. The nephrologist has been a leader among subspecialists in disease management, improving outcome at lowered costs. By establishing an access center, the interventional nephrologist can declot the thrombosed graft using mechanical thrombolysis, do venogram and angioplasty on the dysfunctional access and place cuff catheters for temporary access. The interventional nephrologist thus becomes the primary physician responsible for a very crucial part of the dialysis patient's care, the vascular access, thereby improving the present standard of nephrology practice.
肾病学家熟悉启动透析单元所需的注重细节和艰苦过程。这种熟悉为他们建立透析通路中心奠定了基础。肾病学家治疗一些病情最危急的患者，并进行微创手术，这使他们能够将技能应用于介入肾脏病学。在疾病管理方面，肾病学家一直是亚专科领域的领导者，能以更低成本改善治疗效果。通过建立通路中心，介入肾病学家可以使用机械溶栓清除血栓形成的移植物，对功能失调的通路进行静脉造影和血管成形术，并放置袖套导管以建立临时通路。这样，介入肾病学家就成为了负责透析患者护理中一个非常关键部分（血管通路）的主要医生，从而提高了目前肾脏病学实践的标准。
