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首页> 外文期刊>Seminars in dialysis >Dialysis vascular access management by interventional nephrology programs at University Medical Centers in the United States.
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Dialysis vascular access management by interventional nephrology programs at University Medical Centers in the United States.

机译：通过美国大学医学中心的介入性肾脏病学程序进行透析血管通路管理。

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The development of interventional nephrology has undoubtedly led to an improvement in patient care at many facilities across the United States. However, these services have traditionally been offered by interventional nephrologists in the private practice arena. While interventional nephrology was born in the private practice setting, several academic medical centers across the United States have now developed interventional nephrology programs. University Medical Centers (UMCs) that offer interventional nephrology face challenges, such as smaller dialysis populations, limited financial resources, and real or perceived political "turf" issues." Despite these hurdles, several UMCs have successfully established interventional nephrology as an intricate part of a larger nephrology program. This has largely been accomplished by consolidating available resources and collaborating with other specialties irrespective of the size of the dialysis population. The collaboration with other specialties also offers an opportunity to perform advanced procedures, such as application of excimer laser and endovascular ultrasound. As more UMCs establish interventional nephrology programs, opportunities for developing standardized training centers will improve, resulting in better quality and availability of nephrology-related procedures, and providing an impetus for research activities.
机译：毫无疑问，介入性肾脏病学的发展已导致美国许多机构的患者护理水平得到改善。但是，传统上，这些服务是由介入肾脏科医生在私人执业领域提供的。介入性肾脏病诞生于私人诊所，而美国各地的一些学术医学中心现已制定了介入性肾脏病计划。提供介入性肾脏病学的大学医学中心（UMC）面临着挑战，例如透析人群减少，财政资源有限以及真实或可察觉的政治“草皮”问题。”尽管存在这些障碍，但一些统一医学中心已成功地将介入性肾脏病学作为复杂的一部分而建立起来。更大的肾脏病学计划，这在很大程度上是通过整合可用资源并与其他专业进行合作，而与透析人群的规模无关，与其他专业的合作还提供了执行高级程序的机会，例如准分子激光和血管内应用随着越来越多的UMC建立介入性肾脏病学计划，建立标准化培训中心的机会将得到改善，从而改善与肾脏病有关的程序的质量和可用性，并为研究活动提供动力。

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