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The Optimal Conduit for Hemodialysis Access

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Vascular Surgery

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Abstract

A 42-year-old type 1 diabetic of normal weight has recently progressed to chronic renal disease. Insulin-dependent diabetes mellitus (DM) has been managed by the same primary care physician for the preceding 12 years; glucose control has never been a problem in this cooperative and well-educated individual. The renal failure was initially managed with appropriate adjustments to diet and medications; the presumptive diagnosis is diabetic nephropathy. Recent laboratory tests demonstrate a creatinine of 4.1, a blood urea nitrogen of 94, a potassium of 4.8, mild proteinuria, and a creatinine clearance of 20 mL/min.

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Author information

Authors and Affiliations

  1. Division of Vascular Surgery, Department of Surgery, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark, NJ, USA

    Frank T. Padberg

Authors
  1. Frank T. Padberg
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  2. Robert W. Zickler
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Editor information

Editors and Affiliations

  1. , Department of Vascular Surgery, Imperial College London, London, SW7 2AZ, United Kingdom

    George Geroulakos

  2. School of Medicine, Dept. Surgery, Yale University, New Haven, 06520-8062, Connecticut, USA

    Bauer Sumpio

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© 2010 Springer London

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Padberg, F.T., Zickler, R.W. (2010). The Optimal Conduit for Hemodialysis Access. In: Geroulakos, G., Sumpio, B. (eds) Vascular Surgery. Springer, London. https://doi.org/10.1007/978-1-84996-356-5_41

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  • DOI: https://doi.org/10.1007/978-1-84996-356-5_41

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84996-355-8

  • Online ISBN: 978-1-84996-356-5

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