ASDIN and VASA Issue Joint Statement - Maintaining Lifelines for ESKD Patients
Tuesday, March 24, 2020
Posted by: Mary Lea Nations
ASDIN and VASA Issue Joint Position Statement - Maintaining Lifelines for ESKD Patients
In response to the COVID19 pandemic a joint statement has been issued by the American Society of Diagnostic and Interventional Nephrology (ASDIN) and the Vascular Access Society of the Americas (VASA).
The document may be viewed online: http://www.asdin.org/COVID19Statement
In part, the document states: "Dialysis accesses, including fistulas, grafts, PD and hemodialysis catheters are the lifeline for patients with end-stage kidney disease. While access dysfunction does not result in immediate death, lack of dialysis access will lead to major complications and eventual demise, usually over the course of days to weeks.
Procedures performed to maintain functional dialysis access patency or to transition a tunneled dialysis catheter dependent patient to a different long-term access options reduce overall morbidity and mortality. As the functional deterioration of dialysis access is usually rapid over days to weeks, a timely intervention would avoid replacing short duration, low intensity, high success procedures (e.g. angioplasty or stent placement) early with longer duration, higher intensity, higher failure procedures (e.g. thrombectomy or surgical revision) later."
The one-page statement is followed by three (3) Appendices: 1) Triage Process for Endovascular Procedures, 2) Open HD Access Cases Performance Plan, and 3) Procedure Names and Usual CPT Codes.
Please share this document widely with your colleagues.