Hemodialysis Access

Sherene Shalhub M.D., M.P.H.Dr. Shalhub is an Assistant Professor of Vascular Surgery at the University of Washington. Her practice includes the use of open surgical techniques as well as minimally invasive wire and catheter-based interventions for the treatment of vascular disease.She most recently served as an attending staff surgeon at the Memorial Hermann Heart & Vascular Institute in Texas Medical Center with a faculty appointment as Assistant Professor in the Department of Cardiothoracic and Vascular Surgery at the University Of Texas Health Science Center at Houston. She earned her medical degree from the Morsani College of Medicine at the University of South Florida in Tampa and then completed her general surgery residency and vascular surgery fellowship at the University of Washington in Seattle. In addition, she completed a Master of Public Health degree at the University of South Florida anda postdoctoral trauma research fellowship at the University of Washington.

“This is a comprehensive overview of hemodialysis access and the subtleties involved in the care of patients with end‐ stage renal disease (ESRD). … The book is designed for surgeons, interventionalists, nephrologists, and other providers who care for patients with end‐ stage renal disease. … As an educator in the field of nephrology, I plan to use this as a tool for trainees and patient care. The images are particularly brilliant and make this a unique reference.” (Jon Webb, Doody's Book Reviews, November, 2017)

• Dialysis access planning: Timing of hemodialysis access creation.- Preoperative considerations and noninvasive evaluation.- Strategies of arteriovenous dialysis access.- Peri-procedural and peri-operative considerations.- Pediatric hemodialysis access considerations. Hemodialysis access techniques: Dialysis access catheters (includes placement technique, tips and tricks).- Direct anastomosis cephalic vein  hemodialysis access.- Forearm Cephalic vein Transposition.- Basilic vein Transposition.- Hemodialysis grafts.- Alternative hemodialysis conduits.- Lower extremity hemodialysis access.- Unconventional vascular access procedures.- The Hero Device. Hemodialysis access follow-up: Management of new access from PACU to first-time use.- The immature fistula.- Duplex examination of the hemodialysis access.- Outpatient surveillance at the dialysis center.- The Natural history of hemodialysis access. Hemodialysis access complications: Understanding Intimal hyperplasia biology in hemodialysis access.- Hemodialysis access with complications from the nephrologist’s perspective.- The failing hemodialysis access: The physical exam.- Hemodialysis access percutaneous interventions.- Hemodialysis access outflow vein stenosis (including cephalic arch stenosis).- Central venous Stenosis and occlusion.- Arterial inflow stenosis.- Hemodialysis access-related aneurysms.- The infected hemodialysis access.- The thrombosed hemodialysis access.- Poor hemodialysis access recirculation.- Hand ischemia and neuropathy.- Hemodynamic  complications of hemodialysis access. Hemodialysis alternatives: Renal transplant referral and criteria.- Peritoneal dialysis.  Miscellaneous topics: Current state of hemodialysis access and dialysis access initiatives.- Understanding the hemodialysis machine.- Current Hemodialysis techniques.- Hemodialysis Access Outcomes Assessment.- The outpatient dialysis access center.- Coding and billing for hemodialysis access procedures.