Optimal vascular access to hemodialysis, or what modern medicine offers us
Authors:
Ondřej Hloch 1; Jan Brož 1; Jan Masopust 1; Dana Mokrá 1; Martin Souček 1; Sabina Pálová 1; Karel Vik 2; Ondřej Pátek 1; Jiří Charvát 1
Authors place of work:
Interní klinika 2. LF UK a FN v Motole, Praha
1; Klinika kardiovaskulární chirurgie 2. LF UK a FN v Motole, Praha
2
Published in the journal:
Vnitř Lék 2023; 69(E-1): 15-18
Category:
Review Articles
doi:
https://doi.org/10.36290/vnl.2023.011
Summary
Hemodialysis is a life-saving method for patients with acute and chronic kidney failure. This treatment requires sufficiently large and safe vascular access. Ensuring optimal vascular access is therefore a prerequisite and an integral part of the care of these patients. In addition to commonly known vascular approaches such as non-tunnelized or tunneled hemodialysis catheters and AV fistulas, less well-known methods are also available, such as a translumbar or directly surgically inserted hemodialysis catheter into the right atrium. However, these alternative approaches are the only, life-saving alternative for some patients. The ambition of this review article is to offer a comprehensive view of the available options for vascular access, the algorithm for its selection and solutions to the most common complications in clinical practice.
Keywords:
catheter – hemodialysis – vascular access – AV fistula
Zdroje
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Štítky
Diabetology Endocrinology Internal medicineČlánok vyšiel v časopise
Internal Medicine
2023 Číslo E-1
Najčítanejšie v tomto čísle
- Optimal vascular access to hemodialysis, or what modern medicine offers us
- Development of chronic venous disease
- Ethical aspects in oncology
- Clinical microbiology and its role in current medicine