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논문분류	춘계학술대회 초록집
제목	Challenges Faced in Setting up PTA Service by Interventional Nephrologists in a Developing Nation
저자	Vinoth Kasi Rajan
출판정보	2024; 2024(1):
키워드
초록	Abstract Background: Currently, there is a lack of standardized vascular access services (VAS) for end-stage kidney disease (ESKD) patients. The process of VAS, spanning from pre-creation to post-creation stages, presents challenges, particularly considering regional disparities in operator expertise, techniques, and practices. These variations contribute to significant discrepancies in outcomes across different countries. Objective: Interventional nephrologists can contribute to fill the gap in this area of service by obtaining regulatory board approval, strategize comprehensive training programs, and establish appropriate infrastructure. This approach has already proven successful in countries such as Italy, Japan, Germany, the US, and India, where interventional nephrologists have achieved outcomes comparable to those of surgical counterparts. The primary goal is to minimize waiting times for new access creation, effectively manage complications associated with existing accesses, and extend vascular access longevity, thus reducing reliance on temporary hemodialysis catheters and their associated complications. Conclusion: Enabling interventional nephrologists to offer VAS could greatly reduce health risks associated with insufficient vascular access in ESKD patients, potentially lowering both morbidity and mortality rate.
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