Change Concept #11 Assessment of access blood flow after preemptive angioplasty, by Murray BM, Rajczak S, Ali B, Herman A, Mepani B. From Am J Kidney Dis, 2001 May;37(5):1029-38. Preemptive angioplasty of graft stenoses results in an initial doubling of access blood flow (ABF), but the effect is temporary, with the average ABF decreasing to baseline values by 3 months. Increasing AV Fistula Creation: The Akron Experience, by CL Spuhler, KD Schwarze and JJ Sands. From Nephrology News Issues, May 2002: pp 44-49. Tracking the Performance of Access Surgeons and Changing Referral Pattern Accordingly Increase Fistulae Placement, by Mohamed A. Sekkarie. ASN 2003 Abstract F-PO812. Fistulae placement could be increased when the nephrologist works with access surgeons and monitor their performance. Profiling of access surgeons by policy-makers could be a useful method for the identification of surgeons with better skill.
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