Building a Better Stop-Gap: Vascular Access for Dialysis

Ask any group of nephrologists what the biggest problem is in hemodialysis today and most likely they'll say vascular access. Vasca Inc. believes this is just the sort of problem that technology can address. The young company hopes to convince a fragmented group of physicians that its subcutaneous valve that bridges patients to the optimal, but less used, permanent type of access option, the arteriovenous fistula, will provide clinical and costs benefits across the continuum of dialysis therapy.

Ask any group of nephrologists what the biggest problem is in hemodialysis today, and more likely than not they'll say vascular access. Indeed, with an ever-increasing number of patients with end-stage renal disease (ESRD) requiring dialysis for life support—the number exceeds 300,000 in the US today and is growing by 5-7% a year--national health-care initiatives intent on managing high costs in the face of poor outcomes have begun to spotlight the clinical and economical problems caused by this weakest link in hemodialysis treatment.

In patients without functioning kidneys, dialysis machines that purify blood outside the body draw it out and return it via...

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