|
|
 |
|
|
|
|
 |
Covered Stents for Hemodialysis Access Stenosis: Optional or Essential?
Bart Dolmatch, MD
The number of people in the United States with end stage renal disease continues to rise, as does the number of people who require hemodialysis. Recent statistics show that in 2005 more than 340,000 Americans were dialysis-dependent.(1) Although the Fistula First Initiative has successfully increased the prevalence of the arteriovenous fistula (AVF) for hemodialysis access, there are nevertheless many patients who depend upon an arteriovenous graft (AVG). The cost for providing care for a patient with an AVG is much more than for a patient with an AVF, largely due to repeated procedures to treat recurrent stenosis at the anastomosis between the synthetic graft and outflow vein. Approximately one-half of all AVGs will become dysfunctional within the first year often because of stenosis at the graft-to-vein anastomosis. Angioplasty can produce a technically satisfying result, but patency is poor, with restenosis rates of 40% to 60% within 6 months.
|
|
|
|
Understanding the Emerging Medical Marketplace, Clinical Informatics, and Implications for Clinician Specialists
L. Eleanor J. Herriman MD, MBA
The U.S. medical marketplace is rapidly and fundamentally changing into a consumer- and value-based, transparent system in which the ways providers are measured, evaluated, and compensated will all be altered. In parallel, a healthcare information revolution has begun, one predicted to transform care delivery and diffuse clinical informatics capabilities throughout the points of care. Together, we think this means that 21st century medicine is evolving as rapidly in professional practice matters as in scientific and technologic ones.
|
|
|
|
EVF: The Founder's Perspective — The 10th Anniversary of the Endovascular Forum: A New Beginning
Barry T. Katzen MD, FACR, FACC
It's hard to believe that it has been 10 years since a small group of physicians, encouraged by colleagues from medicine and industry, moved forward with using the newfangled Internet to develop an interactive educational website. The success of the initial Endovascular Forum was immediate. The concept of physicians from around the world being able to share educational content, and more important, to interact with the material to accomplish educational goals, was unique and the result of evolving technology.
|
|
|
|
The Future of Endovascular Forum
James F. Benenati MD
ISET 2007 marks an exciting time for the Endovascular Forum (EVF). At ISET 2007, EVF debuts a redesigned site in recognition of its 10-year history and in anticipation of new and expanded features and functionality in the months and years ahead.
|
|
|
|
|
|
|
