This practical and comprehensive book provides how-to information on all aspects of access to the vascular system for hemodialysis parenteral nutrition chemotherapy and resuscitation. Preoperative evaluation operations noninvasive procedures complications and other aspects are detailed. This edition provides increased coverage of non-interventional techniques and includes new chapters on management of thrombophilia in hemodialysis patients; modulation of the immune system to prevent myointimal hyperplasia; synthetic grafts; venous outflow stenting for salvage of vascular access procedures; and ultrasound in vascular access procedures. This book is essential for all clinicians treating patients who require vascular access including vascular surgeons general surgeons nephrologists dialysis technicians and nurses radiologists and cardiologists.