Nefrologia Interventistica: una disciplina in evoluzione. L’esperienza di due centri italiani a confronto

  • Carlo Jovane UOC Nefrologia e Dialisi, P.O. Gallarate, ASST Valle-Olona, Varese - Italia
  • Sara Dominijanni UOC Nefrologia e Dialisi, Ospedale Sant’Eugenio, ASL Roma 2, Roma - Italia
  • Emidio Costantini UOC Chirurgia Vascolare, P.O. Busto Arsizio, ASST Valle-Olona, Varese - Italia
  • Barbara Campanati UOC Chirurgia Vascolare, P.O. Busto Arsizio, ASST Valle-Olona, Varese - Italia
  • Davide Logaldo UOC Chirurgia Vascolare, P.O. Busto Arsizio, ASST Valle-Olona, Varese - Italia
  • Alessia Centi UOC Nefrologia e Dialisi, Ospedale Sant’Eugenio, ASL Roma 2, Roma - Italia
  • Francesco Londrino UOC Nefrologia e Dialisi, Ospedale Sant’Eugenio, ASL Roma 2, Roma - Italia
  • Paola Tatangelo UOC Nefrologia e Dialisi, Ospedale Sant’Eugenio, ASL Roma 2, Roma - Italia
  • Monica Bevilacqua UOC Nefrologia e Dialisi, Ospedale Sant’Eugenio, ASL Roma 2, Roma - Italia
  • Roberto Palumbo UOC Nefrologia e Dialisi, Ospedale Sant’Eugenio, ASL Roma 2, Roma - Italia
  • Alessandro Castiglioni UOC Nefrologia e Dialisi, P.O. Gallarate, ASST Valle-Olona, Varese - Italia
Parole chiave: A-V, Dialysis, FAV, Hub&Spoke, Vascular Access Team

Abstract

We describe the multidisciplinary work of nephrological realities belonging to two different Regional Health Systems, Lombardia and Lazio. The interventional nephrologist is a specialist in nephrology with ultra-specialist know-how for vascular access for dialysis. He is the coordinator of a team of vascular accesses and applies a team work with the other interventional nephrologists, with the vascular surgeon and the interventional radiologist, with whom he decides the diagnostic-therapeutic procedure to perform the best possible vascular access for that individual patient.

##plugins.generic.usageStats.downloads##

##plugins.generic.usageStats.noStats##

Riferimenti bibliografici

Efstratiadis G, Platsas I, Koukoudis P, Vergoulas G. Interventional Nephrology: a new subspecialty of Nephrology. Hippokratia. 2007;11(1):22-4.

Jovane C. Gli accessi vascolari: il punto di vista di un giovane nefrologo. Giornale di Tecniche Nefrologiche & Dialitiche. 2013;25(4):352-3.

Salman L, Beathard G. Interventional nephrology: Physical examination as a tool for surveillance for the hemodialysis arteriovenous access. Clin J Am Soc Nephrol. 2013;8(7):1220-7.

Chan MR. Interventional nephrology: What the nephrologist needs to know about vascular access. Clin J Am Soc Nephrol. 2013;8(7):1211-2.

https://www.regione.lombardia.it/wps/portal/istituzionale/HP/DettaglioServizio/servizi-e-informazioni/Cittadini/salute-e-prevenzione/strutture-sanitarie-e-sociosanitarie/ser-aziende-ospedaliere-sal/aziende-socio-sanitarie-territoriali, Accessed March 12, 2020.

Napoli M. Eco Color Doppler & Accessi Vascolari per Emodialisi. Wichtig Editore. 2010. ISBN: 8873210317.

Segoloni G, Leonardi G (collaboratore). Gestione fistola artero-venosa per emodialisi. www.nephromeet.com/web/eventi/NEPHROMEET/index.cfm. 15 maggio 2013, Accessed March 12, 2020.

Bharat A, Jaenicke M, Shenoy S. A novel technique of vascular anastomosis to prevent juxta-anastomotic stenosis following arteriovenous fistula creation. J Vasc Surg. 2012;55(1):274-80.

Bonforte G, Zerbi S, Surian M. The middle-arm fistula: A new native arteriovenous vascular access for hemodialysis patients. Ann Vasc Surg. 2004;18:448-52.

Gracz KC, Ing TS, Soung LS, Armbruster KF, Seim SK, Merkel FK. Proximal forearm fistula for maintenance hemodialysis. Kidney Int. 1997;11:71-5.

Gessaroli M (Coordinatore), Alessi Innocenti A, Carbonari L, De Donato G, Dorigo W, Iob G, Morelli I, Parente B. Linee Guida Sicve 2015. Accessi Vascolari. The Italian Journal of Vascular and Endovascular Surgery 2015.September;22(3 Suppl 2):95-116.

Pubblicato
2020-04-14
Sezione
Points of View