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Zentralvenöse Katheter zur Akut- und Dauerbehandlung

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Dialyseshunts

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Zusammenfassung

Zentralvenöse Katheter sind als nichtgetunnelte zentralvenöse Dialysekatheter zur Akutdialyse und als getunnelte Katheter unverzichtbar. Immer häufiger werden sie im Rahmen der Dialyseeinleitung und als intermediärer oder dauerhafter Dialysezugang verwendet, obwohl sie im Vergleich zu nativen Shunts mit erheblichen Risiken (insbesondere der Infektgefährdung und der Induktion von zentralvenösen Stenosen) behaftet sind. Durch schonende Implantationstechniken (Venenpunktion unter sonographischer Kontrolle und Implantation über den Seldingerdraht unter Vermeidung von großlumigen und starren Schleusen), durch verbesserte Hygiene beim Anschluss an die Dialyse und durch moderne Lock-Lösungen lassen sich Komplikationsraten reduzieren.

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Authors and Affiliations

  1. Knappschaftskrankenhaus Bottrop GmbH, Chefarzt Klinik für Innere Medizin II, Leitender Arzt KfH Nierenzentrum Bottrop, Osterfelder Str. 155a, 46242, Bottrop, Deutschland

    M. Hollenbeck

  2. Nierenzentrum Zehlendorf, Fischerhüttenstr. 111, 14163, Berlin, Deutschland

    R. Schindler

Authors
  1. M. Hollenbeck
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  2. R. Schindler
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Correspondence to M. Hollenbeck .

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Editors and Affiliations

  1. Solingen, Germany

    Wolfgang Hepp

  2. Nephrologisches Zentrum Mettmann , Mettmann, Nordrhein-Westfalen, Germany

    Michael Koch

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Hollenbeck, M., Schindler, R. (2017). Zentralvenöse Katheter zur Akut- und Dauerbehandlung. In: Hepp, W., Koch, M. (eds) Dialyseshunts. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-52699-6_6

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  • DOI: https://doi.org/10.1007/978-3-662-52699-6_6

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-52698-9

  • Online ISBN: 978-3-662-52699-6

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