The main topic of âBest Practice in Vascular Accessâ is Evidence-based and Best practice in Vascular Access Creation and Maintenance. The 20 chapters were written by six nephrologists, ten surgeons and four radiologists. The first section starts with the history and future aspects of hemodialysis vascular access, vascular access monitoring and current techniques for access imaging. Central venous access
options remain an important issue of hemodialysis and, for this reason, the insertion techniques and complication treatment are widely addressed in the second section of this book. The rising elderly and comorbid patient group needs more and more often secondary access procedures, which imply implantation of prosthetic grafts with their additional complications. Influencing the process of stenosis formation
and prevention of intimal proliferation is an important research issue and the newest developments are highlighted. Difficult cannulation results in patient discomfort and even access loss. Interventional and surgical techniques to enhance cannulation are suggested solutions to overcome these ever-increasing problems in the dialysis population. Finally, a comprehensive review of the incidence and treatment of vascular access infection and the role of xenografts is the subject of the last section.