Emergence of Interventional Nephrology at the International level

Evolving Roles of Radiologists, Nephrologists, and Surgeons in Endovascular Hemodialysis Access Maintenance Procedures

“…Nephrologists' arguments in support of their interventional roles are ostensibly compelling, particularly when they focus on diminished fragmentation of care [28,32,34] and more expeditious restoration of access [5,28,29,32], especially when radiologists and surgeons are portrayed as unresponsive to patient needs [28,34].…”

“…This balance may change, however, as the interventional nephrology community joins the interventional radiology [24] and vascular surgery [25] communities in developing credentialing, training, and quality improvement guidelines [26,27] and increasingly lauds vascular access research by its members [28,29]. And with many radiology practices experiencing difficulty recruiting interventionalists [30,31], the impact of the fifth described contributor to radiology's loss of coronary turf (ie, a manpower procedural vacuum within radiology) remains to be determined.…”

Role of Experience in Developing an Interventional Nephrology Program at an Academic Center in Pakistan

“…Nephrologists from many countries who trained in the US under ASDIN-approved programs have established interventional nephrology programs in their respective countries [15]. A multidisciplinary approach is recommended for vascular access management involving the patient and their family, the nephrologist, the dialysis facility personnel, the surgeon, and the interventionalist; with the nephrologist playing a leadership role since they are the physicians who know the most about the patient, are experts in hemodialysis and have the deepest understanding of how vascular access impacts patient care [16].…”