Die subkutane arteriovenöse Fistel zur intermittierenden Hämodialyse-Behandlung

Sperling, Mark A.; Kleinschmidt, W; Wilhelm, A; Heidland, A.; Klütsch, K.

doi:10.1055/s-0028-1103641

Cited by 28 publications

(10 citation statements)

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“…This artificial connection allows the vein to become larger and for the walls of the vein to thicken, a process termed maturation. A year later the technique had been amended to allow the construction of an end-to-end anastomosis in the lower arm between the cephalic vein and the radial artery [22]. This technique restricted arterial inflow into the AVF to that blood delivered by the feeding radial artery led to a high risk of developing steal syndrome.…”

Section: The Arteriovenous Fistulamentioning

confidence: 99%

Haemodialysis and Vascular Access in the End Stage Kidney Disease

Siddiqui¹

2017

EJCBS

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The efficiency of haemodialysis treatment relies on a functional status of vascular access. A vascular access makes life-saving haemodialysis treatments possible. The efficiency of haemodialysis treatment relies on a functional status of vascular access. The purpose of this review was to discuss the role of haemodialysis and vascular access in end stage kidney disease. Vascular access and its related problems represent the main factors that determine a rise in the rate of incidence of the disease among haemodialysis patients and, consequently, a rise in the healthcare expenses. Vascular access can be divided into three categories: arteriovenous fistula, central venous catheter and arteriovenous graft. Central venous catheter has a number of disadvantages, including a considerable risk of infection and mortality. It also has negative implications for the use of a fistula for dialysis. In contrast, arteriovenous fistula is the most beneficial method, as it has a low risk of infection and mortality, and can ensure long-term functional access. Furthermore, there are three configurations of native arteriovenous fistula that can be used for haemodialysis providing flexibility of approach depending on risk factors of the individual patient.

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Section: The Arteriovenous Fistulamentioning

confidence: 99%

Haemodialysis and Vascular Access in the End Stage Kidney Disease

Siddiqui¹

2017

EJCBS

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“…Historically the end‐to‐end technique was first described by Sperling et al (9) using a stapler for suturing the anastomosis (Fig. 4).…”

Section: End‐to‐end Anastomosismentioning

confidence: 99%

Interventional Nephrology and Dialysis: The Initial Creation of Native Arteriovenous Fistulas: Surgical Aspects and Their Impact on the Practice of Nephrology

Könner¹

2003

Seminars in Dialysis

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A highly welcomed, increasing number of arteriovenous fistulas (AVFs) has been noted in recent years as has a high rate of early failure. The latter is not an inevitable consequence of the former. Potential contributors may be identified by an analysis of surgical strategies and details of the creation of arteriovenous (AV) anastomoses. The "simple" AVF is all but simple. Construction of the anastomosis is a tool, not the aim of access surgery. The aim is a rapidly maturing and well-functioning fistula, a high flow construct that can be cannulated easily and repeatedly for adequate hemodialysis (HD) therapy. Surgical details are illustrated to clarify verbal descriptions. The impact of a high quality of initial vascular access on the practice of nephrology is mentioned. Closing remarks try to define a vascular access team as the optimal option for future management of vascular access.

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“…These fears "never materialized" and later on the AVF spread, mainly in the European centers, with good acceptance in the US too. According to the original technique, the anastomosis between the radial artery and the cephalic forearm vein was constructed in a side-to-side fashion, but risks of distal steal syndrome and peripheral venous hypertension made the end-to-end feature more useful, proposed in 1967 for the first time by Sperling et al (15). These risks were known to Röhl et al, when he performed the radiocephalic AVF using an end vein-to side of artery configuration and then ligated the radial artery distally to the anastomosis, resulting in an end-to-end anastomosis from a functional point of view (16).…”

Section: Arteriovenous Fistulas With Native Vesselsmentioning

confidence: 99%

The endless history of vascular access: a surgeon's perspective

Berardinelli

2006

J Vasc Access

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Die subkutane arteriovenöse Fistel zur intermittierenden Hämodialyse-Behandlung

Cited by 28 publications

References 0 publications

Haemodialysis and Vascular Access in the End Stage Kidney Disease

Haemodialysis and Vascular Access in the End Stage Kidney Disease

Interventional Nephrology and Dialysis: The Initial Creation of Native Arteriovenous Fistulas: Surgical Aspects and Their Impact on the Practice of Nephrology

The endless history of vascular access: a surgeon's perspective

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