Naše zkušenosti se zakládáním přístupů pro hemodialýzu
| Title in English | Our Experience with Hemodialysis Accesses Creation |
|---|---|
| Authors | |
| Year of publication | 2010 |
| Type | Article in Periodical |
| Magazine / Source | Aktuality v nefrologii |
| MU Faculty or unit | |
| Citation | |
| Field | Surgery incl. transplantology |
| Keywords | arteriovenous access; complications; hemodialysis; renal failure |
| Description | Objective:The aim of a surgeon cooperating with a dialysis centre is to secure the access to the vascular system of a patient with renal failure for his/her repeated connection to the artificial kidney. Metod and results:Between 1996 and 2009, a total of 1881 accesses for hemodialysis were created. Out of them, Brescia-Cimino variation was applied in 62 %, various types of AV shunt in the cubital fossa in 20 %, other vascular possibilities in 9.5 %, ePTFE vasculargrafts implantation in 0.5 %, an access for peritoneal dialysis in 8%. Most frequently, surgeries were carried out under local anaesthesia (83.0%), block anaesthesia was applied in 16%, and general anaesthesia in 1.0%. Conclusions: In the care of patients with kidney diseases on chronic hemodialysis, the interdisciplinary cooperation. For access creation, the ideal is an autologous material especially in the upper extremities. ePTFE vascular grafts can be used as alternatives. |