BOSTON — Revisions to guidelines for vascular access placement in the patient with ESKD – the first in 10 years – place a greater emphasis on matching patients’ care plans and modality options with the access choice.
“The prior messages were excellent with ‘Fistula First,’ and we are still embracing ‘Fistula First,’” Charmaine E. Lok, MD, MSc, FRCP(C), said at the National Kidney Foundation Spring Clinical Meetings, here. “We are still going to use that concept in patients where it is appropriate, [but] it is going to be more than just ‘Fistula First,’ and it is going to be more than ‘Catheter Last’ because there are patients where the catheter is appropriate.”
This activity is supported by educational grants from Merck & Co., Inc. and Shire.
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