Standardized definitions for hemodialysis vascular access.
Standardized definitions for hemodialysis vascular access.
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DOI：
10.1111/j.1525-139x.2011.00969.x
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发表时间：
2011-09
影响因子：
1.6
通讯作者：
North American Vascular Access Consortium
中科院分区：
文献类型：
--
作者：
Lee T;Mokrzycki M;Moist L;Maya I;Vazquez M;Lok CE;North American Vascular Access Consortium
血管通路障碍是终末期肾病患者发病和死亡的主要原因之一。血管通路功能障碍存在于所有3种可用的通路：动静脉瘘、动静脉移植物和隧道导管。为了改善血液透析通路功能障碍的临床研究和结果，需要建立一个多学科的合作研究网络，具有不同领域的专业知识，以及所有血管通路类型的术语和分类的共同标准。北美血管通路联盟（NAVAC）是一个新成立的血液透析血管通路领域的多学科和多中心专家网络，包括来自美国和加拿大的肾病学家和介入肾病学家：(1)血液透析血管通路功能障碍的主要临床和研究重点；(2)国内和国际公认的血管通路专家；(3)通过同行评审的出版物和该联盟成员之间的资助来衡量的生产力历史。该联盟的使命是通过开展观察性研究和随机对照试验，提高血管通路研究的质量和效率，并影响血液透析血管通路领域的研究。该联盟初稿的目的是提供有关(1)流行病学，(2)血管通路功能，(3)血管通路通畅，以及(4)与每种血管通路类型相关的血管通路并发症的工作和标准血管通路定义。
Vascular access dysfunction is one of the leading causes of morbidity and mortality among end-stage renal disease patients . Vascular access dysfunction exists in all 3 types of available accesses: arteriovenous fistulas, arteriovenous grafts, and tunneled catheters. In order to improve clinical research and outcomes in hemodialysis access dysfunction, the development of a multidisciplinary network of collaborative investigators with various areas of expertise, and common standards for terminology and classification in all vascular access types is required. The North American Vascular Access Consortium (NAVAC) is a newly formed multidisciplinary and multicenter network of experts in the area of hemodialysis vascular access, who include nephrologists and interventional nephrologists from the United States and Canada with: (1) a primary clinical and research focus in hemodialysis vascular access dysfunction, (2) national and internationally recognized experts in vascular access, and (3) a history of productivity measured by peer-reviewed publications and funding among members of this consortium. The consortium’s mission is to improve the quality and efficiency in vascular access research, and impact the research in the area of hemodialysis vascular access by conducting observational studies and randomized controlled trials. The purpose of the consortium’s initial manuscript is to provide working and standard vascular access definitions relating to (1) epidemiology, (2) vascular access function, (3) vascular access patency, and (4) complications in vascular accesses relating to each of the vascular access types.