Surgical Interventions for Renal Replacement Therapy from the View of Nephrologists

Abstract

tionsrate um 38 % senken. Da viele Nierenpatienten auch an cardialen und metabolischen Erkrankungen, vor allem Diabetes mellitus, leiden bzw. einen schlechten peripheren Gefäßstatus haben, soll die Wahl des optimalen Dialysezugangs bei Problempatienten nach interdisziplinärer Beurteilung durch Nephrologen, Kardiologen, Chirurgen und Radiologen getroffen werden.

Editorial

“…Terminal renal failure currently has an incidence of 136 per million people per year, and is increasing by approximately 5 % per year (17). In 2001, there were 6046 patients with terminal renal failure in Austria (11).…”

“…The wide use of this method is due on the one hand to the technically perfected dialysis machines and on the other, to standardized techniques in vascular surgery. Some 40 % of all admissions of dialysis patients are for the correction of shunt complications, either surgically or with interventional radiology (17). Nonetheless, dialysis shunts still have a limited longevity due to degeneration as a result of recurrent shunt punctures, increased pressure in the arterialized veins, weakness of the vascular walls involved, and destruction of the vascular wall due to infection (7,8).…”