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3 results on '"Manzano Grossi, Soledad"'

1. Clinic of vascular access: Results after implementing a multidisciplinary approach adding routine Doppler ultrasound

Author

Aragoncillo Sauco, Inés, Ligero Ramos, José Manuel, Vega Martínez, Almudena, Morales Muñoz, Ángel Luis, Abad Estébanez, Soraya, Macías Carmona, Nicolás, Ruiz Chiriboga, Diego, García Pajares, Rosario, Cervera Bravo, Teresa, López-Gómez, Juan Manuel, Manzano Grossi, Soledad, Menéndez Sánchez, Elena, Río Gomez, Javier, García Prieto, Ana María, Linares Grávalos, Tania, Garcia Boyano, Fernando, Reparaz Asensio, Luis Manuel, Albalate Ramón, Marta, de Sequera Ortiz, Patricia, Gil Casares, Beatriz, Ampuero Mencía, Jara, Castellano, Sandra, Martín Pérez, Belén, Martín Conty, José Luís, Santos Garcia, Alba, and Luño Fernandez, José

Published
2018
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2. Consulta de acceso vascular: resultados antes y después de la instauración de un programa multidisciplinar con realización de ecografía doppler de rutina

Author

Aragoncillo Sauco, Inés, Ligero Ramos, José Manuel, Vega Martínez, Almudena, Morales Muñoz, Ángel Luis, Abad Estébanez, Soraya, Macías Carmona, Nicolás, Ruiz Chiriboga, Diego, García Pajares, Rosario, Cervera Bravo, Teresa, López-Gómez, Juan Manuel, Manzano Grossi, Soledad, Menéndez Sánchez, Elena, Río Gomez, Javier, García Prieto, Ana María, Linares Grávalos, Tania, Garcia Boyano, Fernando, Reparaz Asensio, Luis Manuel, Albalate Ramón, Marta, de Sequera Ortiz, Patricia, Gil Casares, Beatriz, Ampuero Mencía, Jara, Castellano, Sandra, Martín Pérez, Belén, Conty, José Luís Martín, Santos Garcia, Alba, and Luño Fernandez, José

Published
2018
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3. Vascular access clinic results before and after implementing a multidisciplinary approach adding routine Doppler ultrasound.

Author

Aragoncillo Sauco I, Ligero Ramos JM, Vega Martínez A, Morales Muñoz ÁL, Abad Estébanez S, Macías Carmona N, Ruiz Chiriboga D, García Pajares R, Cervera Bravo T, López-Gómez JM, Manzano Grossi S, Menéndez Sánchez E, Río Gomez J, García Prieto AM, Linares Grávalos T, Garcia Boyano F, Reparaz Asensio LM, Albalate Ramón M, de Sequera Ortiz P, Gil Casares B, Ampuero Mencía J, Castellano S, Martín Pérez B, Conty JLM, Santos Garcia A, and Luño Fernandez J

Subjects
Humans, Patient Care Team, Retrospective Studies, Arteriovenous Shunt, Surgical, Blood Vessels diagnostic imaging, Renal Dialysis methods, Ultrasonography, Doppler
Abstract

Background: A multidisciplinary approach and Doppler ultrasound (DU) assessment for the creation and maintenance of arteriovenous fistulas (AVF) for haemodialysis can improve prevalence and patency. The aim of this study was to analyse the impact of a new multidisciplinary vascular access (VA) clinic with routine DU., Material and Methods: We analysed the VA clinic results from 2014 and 2015, before and after the implementation of a multidisciplinary team protocol (vascular surgeon/nephrologist) with routine DU in preoperative mapping and prevalent AVF., Results: We analysed 345 and 364 patients from 2014 and 2015 respectively. The number of surgical interventions was similar in both periods (p=.289), with a trend towards an increase in preventive surgical repair of AVF in 2015 (17 vs. 29, p=.098). 155 vs. 169 new AVF were performed in 2014 and 2015, with a significantly lower primary failure rate in 2015 (26.4 vs. 15.3%, p=.015), and a non-significant increase in radiocephalic AVF, 25.8 vs. 33.2% (n=40 vs. 56), p=.159. The concordance between the indication at the clinic and the surgery performed also increased (81.3 vs. 93.5%, p=.001). Throughout 2015 fewer complementary imaging test were requested from the clinic (78 vs. 35, p <.001), with a corresponding reduction in costs (€87,716 vs. €59,445)., Conclusions: Multidisciplinary approach with routine DU can improve VA results, with a decrease in primary failure rate, higher likelihood of radiocephalic AVF, better management of dis-functioning AVF and lower radiological test costs., (Copyright © 2018 Sociedad Española de Nefrología. Published by Elsevier España, S.L.U. All rights reserved.)

Published
2018
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