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Syed Nabil Babar

Syed Nabil Babar

FASN Nephrology Associate Augusta Georgia , USA

Title: International nephrology dialysis,access care redefined

Biography

Biography: Syed Nabil Babar

Abstract

Introduction: Subspecialty of nephrology involving endovascular procedures essential for maintenance and management
of dialysis access. Vascular access (AVF, AVG, HD catheter) is proclaimed as the “lifeline” and “Achilles heel” for patients
on hemodialysis Procedures, Vein Mapping (ultrasound+ contrast injection), Balloon assisted maturation. Endovascular
coiling of accessory/collateral veins, Angioplasty of stenotic segment within or outside the conduit, Thrombectomy (declotting)
of AVF/AVG, Stent graft placement, Tunneled catheter placement, exchange and removal, Peritoneal dialysis
catheter placement, exchange and removal Pros and Cons of Interventional Nephrology
Pros: Expeditious care, Patient/physician familiarity, Smooth communication, Achieving superior
Cons: Limited training opportunities, Interventional “turf ” issues Impact of VAC on hospitalize
Impact of VAC on hospitalization & missed dialysis treatments: Retrospective analysis of vascular access-related
hospitalized days and missed outpatient dialysis treatments from 1995-2002 in 21 Phoenix dialysis facilities and 1275
Fresenius Medical Care North America (FMCNA) units within the U.S. to evaluate the impact of introduction of VAC
in Phoenix, Decline in hospitalized days and missed treatments/patient year evident from 1997-2001 across all access
types with a greater decline in Phoenix coinciding with creation of VAC in 1998 ,VAC development was associated with a
significant decrease in vascular access-related hospitalization and missed outpatient dialysis treatments