
The incidence of treated end stage renal disease (ESRD) continues to  rise, particularly in the western world. Although renal transplantation  is the treatment of choice for ESRD, the decline in the number of  cadaveric organs, coupled with the rising demand for transplantation,  means that an increasing number of patients will have to depend on  dialysis. Vascular or peritoneal access is the Achilles’ heel of any  dialysis service. This book offers a clear description of the state of  the art in providing and perserving a durable and reliable access. It  also points the way to dialysis in the 21st century. The contributing  authors are drawn from a wide background, with expertise in various  aspects of dialysis access, including its history, the technique of  placement, anaesthesia, radiology, nursing care and training of vascular  access surgeons. There is currently a dearth of books on the subject of  dialysis access. The few existing books on vascular access were written  in the United States, with none from the UK. This volume is intended  for use by transplant surgeons, general surgeons with an interest in  vascular access, vascular surgeons, nephrologists, trainees and nurses.  Dialysis services are expanding worldwide and this book is a valuable  guide for those involved in daily patient care and organization of  dialysis services
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