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dc.rights.licenseopenen_US
dc.contributor.authorBASILE, Carlo
dc.contributor.authorLOMONTE, Carlo
hal.structure.identifierBioingénierie tissulaire [BIOTIS]
dc.contributor.authorCOMBE, Christian
ORCID: 0000-0002-0360-573X
IDREF: 58708871
dc.contributor.authorCOVIC, Adrian
dc.contributor.authorKIRMIZIS, Dimitrios
dc.contributor.authorLIAKOPOULOS, Vassilios
dc.contributor.authorMITRA, Sandip
dc.date.accessioned2021-12-14T13:57:21Z
dc.date.available2021-12-14T13:57:21Z
dc.date.issued2021-01-01
dc.identifier.issn1724-6059en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/124144
dc.description.abstractEnThe COVID-19 pandemic has resulted in major disruption to the delivery of both routine and urgent healthcare needs in many institutions across the globe. Vascular access (VA) for haemodalysis (HD) is considered the patient's lifeline and its maintenance is essential for the continuation of a life saving treatment. Prior to the COVID-19 pandemic, the provision of VA for dialysis was already constrained. Throughout the pandemic, inevitably, many patients with chronic kidney disease (CKD) have not received timely intervention for VA care. This could have a detrimental impact on dialysis patient outcomes in the near future and needs to be addressed urgently. Many societies have issued prioritisation to allow rationing based on clinical risk, mainly according to estimated urgency and need for treatment. The recommendations recently proposed by the European and American Vascular Societies in the COVID-19 pandemic era regarding the triage of various vascular operations into urgent, emergent and elective are debatable. VA creation and interventions maintain the lifeline of complex HD patients, and the indication for surgery and other interventions warrants patient-specific clinical judgement and pathways. Keeping the use of central venous catheters at a minimum, with the goal of creating the right access, in the right patient, at the right time, and for the right reasons, is mandatory. These strategies may require local modifications. Risk assessments may need specific "renal pathways" to be developed rather than applying standard surgical risk stratification. In conclusion, in order to recover from the second wave of COVID-19 and prepare for further phases, the provision of the best dialysis access, including peritoneal dialysis, will require working closely with the multidisciplinary team involved in the assessment, creation, cannulation, surveillance, maintenance, and salvage of definitive access.
dc.language.isoENen_US
dc.subject.enArteriovenous Shunt
dc.subject.enSurgical
dc.subject.enCOVID-19
dc.subject.enComorbidity
dc.subject.enDelivery of Health Care
dc.subject.enHumans
dc.subject.enKidney Failure
dc.subject.enChronic
dc.subject.enPandemics
dc.subject.enRenal Dialysis
dc.subject.enRisk Assessment
dc.title.enA call to optimize haemodialysis vascular access care in healthcare disrupted by COVID-19 pandemic.
dc.title.alternativeJ Nephrolen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1007/s40620-021-01002-4en_US
dc.subject.halSciences du Vivant [q-bio]/Biotechnologiesen_US
dc.identifier.pubmed33683675en_US
bordeaux.journalJournal of Nephrologyen_US
bordeaux.page365-368en_US
bordeaux.volume34en_US
bordeaux.hal.laboratoriesBioingénierie Tissulaire (BioTis) - UMR_S 1026en_US
bordeaux.issue2en_US
bordeaux.institutionCNRSen_US
bordeaux.institutionINSERMen_US
bordeaux.institutionCHU de Bordeauxen_US
bordeaux.institutionInstitut Bergoniéen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.import.sourcepubmed
hal.identifierhal-03479778
hal.version1
hal.date.transferred2021-12-14T13:57:23Z
hal.exporttrue
workflow.import.sourcepubmed
dc.rights.ccPas de Licence CCen_US
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