Updated and revised, this 4th Edition is a practical, indepth howto guide to all aspects of vascular access surgery for a wide rage of patients and conditions. For each application, it illustrates regional anatomy and physiology ... discusses the indications for the various techniques... describes surgical procedures in depth...details the newest percutaneous interventions and thrombolysis...and presents the expected results and complications. Readers will also vital information on biomaterials, physiology of hemodialysis, and other core scientific topics. Details all types of vascular access, from uses in surgical procedures and transplantation to applications in renal failure as well as for longterm parenteral nutrition and chemotherapy. Reviews underlying anatomical and hemodynamic data. Provides all necessary technical information. Offers comprehensive coverage of howtos for common and unusual patient presentations, in adults as well as pediatric patients Presents seven brandnew chapters with all other chapters thoroughly revised and updated. Emphasizes meeting the National Kidney Foundation outcome initiative (Dialysis Outcome Quality Improvement guidelines.) Features the latest techniques for autogenous fistula and basilic vein transposition. Includes use of imaging in central nervous catheterization. Provides the latest methods and outcome data on radiologic interventions. Discusses how to manage axillosubclavian thrombosis. Addresses how to avoid complications and difficult access problems.