Zusammenfassung
Aufgrund der demografischen Entwicklung und der ansteigenden Prävalenz des Diabetes mellitus nimmt die Zahl dialysepflichtiger Patienten stetig zu. Bei vielen dieser Erkrankten stellt die Anlage einer autologen arterio-venösen Fistel eine echte Herausforderung dar. Erweist sie sich als unmöglich, muss der Gefäßchirurg mit alternativen Zugängen sowie den Vor- und Nachteilen von alloplastischen und heterologen Prothesen vertraut sein (Teil 1). Früh- und Spätkomplikationen wie Aneurysmen, Stenosen, Verschlüsse, Infekte und Steal-Syndrom sind in der Shuntchirurgie häufig und sollten nach heute gültigen Richtlinien behandelt werden (Teil 2).
Abstract
Due to demographic development and the increasing prevalence of diabetes mellitus the number of haemodialysis patients is steadily increasing. In many of them creation of an autogenous arterio-venous fistula becomes a real challenge. When impossible the vascular surgeon must be familiar with access alternatives and the use of prosthetic and biological grafts (part 1). Early and late complications such as aneurysms, stenoses, occlusions, infections and steal syndrome are frequent in access surgery and should be treated in accordance with existing guidelines (part 2).
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Discover the latest articles and news from researchers in related subjects, suggested using machine learning.Abbreviations
- A. rad.:
-
A. radialis
- AVF:
-
Arterio-venöse Fistel
- AVG:
-
Arterio-venöser Graft
- ePTFE:
-
Expanded Polytetrafluoroethylen
- FKDS:
-
Farbkodierte Duplexsonographie
- GFR:
-
Glomeruläre Filtrationsrate
- PTA:
-
Perkutane transluminale Ballonangioplastie
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Danksagung
Wir danken Herrn Dr. med. V. Mickley, Fachbereich Gefäßchirurgie am Klinikum Mittelbaden, Kreiskrankenhaus Raststatt, für die kritische Durchsicht des Manuskriptes.
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Widmer, M., Uehlinger, D., Do, D. et al. Shuntchirurgie bei Hämodialysepatienten. Gefässchirurgie 13, 135–145 (2008). https://doi.org/10.1007/s00772-008-0597-5
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DOI: https://doi.org/10.1007/s00772-008-0597-5