Hemofiltration pp 119-127 | Cite as


  • A. J. Fürsch
  • C. A. Baldamus


Replacement of renal function by extracorporeal treatment has been common since satisfactory methods for angioaccess became available. Ideally, angioaccess should have the following features:
  1. 1)

    Adequate extracorporeal blood flow

  2. 2)

    Long survival of access

  3. 3)

    Painless connection to extracorporeal circuit

  4. 4)

    Highest possible integrity of the patient’s vessels

  5. 5)

    No disturbance of peripheral limb perfusion

  6. 6)

    Little influence on cardiac output

  7. 7)

    Simple connection to extracorporeal blood flow

The most common method wich best realizes these requirements is the arteriovenous (AV) fistula, inaugurated by Cimino and Brescia [8]. The artificial kidney era did not begin until adequate angioaccess of high longevity became available. While the methods for angioaccess with hemodialysis (HD) and hemofiltration (HF) are quite similar, differences exist because of treatment-specific requirements.


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  1. 1.
    Ahearn DJ, Mäher JF (1972) Heart failure as a complication of hemodialysis arteriovenous fistula. Ann Intern Med 77: 201PubMedCrossRefGoogle Scholar
  2. 2.
    Anderson CB, Codd JR, Craff GM, Harter HR, Newton WT (1976) Cardiac failure and upper extremity arteriovenous dialysis fistulas. Arch Intern Med 136: 292PubMedCrossRefGoogle Scholar
  3. 3.
    Bonalumi U, Simoni GA, Friedman D, Borzone E, Griffanti F (1984) Initial experience with hemasite vascular access device %HD<for maintenance hemodialysis. Kidney Int 26: 540Google Scholar
  4. 4.
    Bouthier JD, Levenson JA, Simon AC, Bariety JM, Bourquelot PE, Safar ME (1983) A noninvasive determination of fistula blood flow in dialysis patients. Artif Organs 7: 404PubMedCrossRefGoogle Scholar
  5. 5.
    Bower JD, Coleman TG (1969) Circulatory function during chronic hemodialysis. Trans Am Soc Artif Intern Organs 15: 373PubMedGoogle Scholar
  6. 6.
    Buselmeier TJ, Simmons RL, Najarian JS, Ducean DA, von Hartitsch B, Kjellstrand CM (1973) The clinical application of a new prothetic arteriovenous shunt. Nephron 12: 22CrossRefGoogle Scholar
  7. 7.
    Butt KMH (1978) Bovine heterograft for arteriovenous fistulas. In: Sawyer PN (ed) Vascular grafts. Appleton-Century-Crofts, New York, p 278Google Scholar
  8. 8.
    Brescia MJ, Cimino JE, Appel K, Hurwich BJ (1966) Chronic hemodialysis using venipuncture and a surgically created arteriovenous fistula. N Engl J Med 275: 1089PubMedCrossRefGoogle Scholar
  9. 9.
    Collins AJ, Shapiro FL, Keshaviah P, Ilstrup K, Andersen R, O’Brien T, Costentino LC (1983) Multicentre clinical experience with the hemasite blood access device. In: Kootstra G (ed) Access surgery. MTP Press, Lancaster, p 297CrossRefGoogle Scholar
  10. 10.
    De Fazio V, Christensen RC, Regan TJ, Baer LJ, Morita Y, Hellems HK (1959) Circulatory changes in acute glomerulonephritis. Circulation 20: 190CrossRefGoogle Scholar
  11. 11.
    Francis DMA, Hoenich NA, Taylor RMR, Ward MK, Kerr DNS (1983) An indwelling right atrial catheter for long-term hemodialysis. Trans Am Soc Artif Intern Organs 29: 348PubMedGoogle Scholar
  12. 12.
    Friedman EA, Butt KMH, Pascua LJ, Hardy MA, Lawton RL, Uldall PR (1979) Vascular access update. Trans Am Soc Artif Intern Organs 25: 526PubMedCrossRefGoogle Scholar
  13. 13.
    Goss JE, Alfrey AC, Vogel JHK, Holmes JH (1967) Hemodynamic changes during hemodialysis. Trans Am Soc Artif Intern Organs 13: 68Google Scholar
  14. 14.
    Graettinger JS, Parsons RL, Campbell JA (1963) Correlation of clinical and hemodynamic studies in patients with mild and severe anemia with and without congestive failure. Ann Intern Med 58: 617PubMedCrossRefGoogle Scholar
  15. 15.
    Grone HJ, Kramer P (1982) Punktion und Langzeitkanülierung der Arteria — und Vena femoralis beim Erwachsenen. In: Kramer P (ed) Arteriovenöse Hämofiltration. Vandenhoeck and Ruprecht, GöttingenGoogle Scholar
  16. 16.
    Hirschl M, Ehringer H, Marosi L, Minar E, Schmidt P, Zazgornik J (1984) Perkutane quantitative Shuntflußmessung an großen Transportarterien bei chronischen Dialysepatienten ( Percutaneous quantitative shunt flow measurement and flow measurement of large transport arteries in chronic dialysis patients ). Vasa 13: 159PubMedGoogle Scholar
  17. 17.
    Kaplan AA, Grant J, Galler M, Galen MA, Longnecker RE (1983) Regional experience with the Hemasite no-needle access device. Trans Am Soc Artif Intern Organs 29: 369PubMedGoogle Scholar
  18. 18.
    Kramer P, Wigger W, Rieger D, Matthaei D, Scheler F (1977) Arterio-venous hemofiltration: a new and simple method for treatment of over-hydrated patients resistant to diuretics. Klin Wochenschr 55: 1121PubMedCrossRefGoogle Scholar
  19. 19.
    Kjellstrand CM, Merino GE, Mauer SM, Casali R, Buselmeier TJ (1975) Complications of percutaneous femoral vein chatheterization for hemodialysis. Clin Nephrol 4: 37PubMedGoogle Scholar
  20. 20.
    May J, Johnson JR, Evans R, Sheil AGR (1969) Experience with large vessel applique ( Thomas) shunts for hemodialysis. Med J Aust 2: 77Google Scholar
  21. 21.
    May J, Harris J, Fletcher J (1980) Long-term results of saphenous vein graft arteriovenous fistulas. Am J Surg 140: 387PubMedCrossRefGoogle Scholar
  22. 22.
    Morgan AP, Knight DC, Tilney NL, Lazarus JM (1980) Femoral triangle sepsis in dialysis pat¬ients; frequency, management and outcome. Ann Surg 191: 460PubMedCrossRefGoogle Scholar
  23. 23.
    Payne RM, Soderblom RE, Lobstein PH, Hull AR, Mullins CB (1972) Exercise-induced hemo¬dynamic effects of arteriovenous fistulas used for hemodialysis. Kidney Int 2: 344PubMedCrossRefGoogle Scholar
  24. 24.
    Quinton WE, Dillard DH, Scribner BH (1960) Cannulation of blood vessels for prolonged hemodialysis. Trans Am Soc Artif Intern Organs 6: 104PubMedGoogle Scholar
  25. 25.
    Quinton WE, Dillard DH, Cole JJ, Scribner BH (1962) Eight month’s experience with Silastic-Teflon cannulas. Trans Am Soc Artif Intern Organs 8: 236PubMedCrossRefGoogle Scholar
  26. 26.
    Reed WP, Light PD, Sadler JH (1934) Access for hemodialysis by means of long-term central venous catheters. Kidney Int 25: 838CrossRefGoogle Scholar
  27. 27.
    Richardson TQ, Guyton AC (1959) Effects of polycythemia and anemia on cardiac output and other circulatory factors. Am J Physiol 197: 1167Google Scholar
  28. 28.
    Seldinger SJ (1953) Catheter replacement of needle in percuaneous arteriography new technique. Acta Radiol 39: 68CrossRefGoogle Scholar
  29. 29.
    Shaldon S, Beau MC, Deschodt G, Lysaght MJ, Ramperez P (1980) Contineous ambulatory hemofiltration. Trans Am Soc Artif Intern Organs 26: 210PubMedGoogle Scholar
  30. 30.
    Shaldon S, Silva H, Pomeroy J, Rae AJ, Rosen SM (1964) Percutaneous femoral venous cathe¬terization and reusable dialyzers in the treatment of acute renal failure. Trans Am Soc Artif Intern Organs 10: 133PubMedGoogle Scholar
  31. 31.
    Sharp KW, Spees EK, Selby LR, Zachary JB, Ernst CB (1984) Diagnosis and management of retroperitoneal hematoma after femoral vein cannulation for hemodialysis. Surgery 95: 90PubMedGoogle Scholar
  32. 32.
    Thomas GJ (1969) A large-vessel applique a-v shunt for hemodialysis. Trans Am Soc Artif Intern Organs 15: 288PubMedGoogle Scholar
  33. 33.
    Uldall PR, Woods F, Merchant N, Crichton E, Carter H (1980) A double-lumen subcalvian cannula ( DLSC) for temporary hemodialysis access. Trans Am Soc Artif Intern Organs 26: 93PubMedGoogle Scholar

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© Springer-Verlag Berlin Heidelberg 1986

Authors and Affiliations

  • A. J. Fürsch
  • C. A. Baldamus

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