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Hemofiltration pp 119-127 | Cite as

Angioaccess

  • A. J. Fürsch
  • C. A. Baldamus
Chapter

Abstract

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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Copyright information

© Springer-Verlag Berlin Heidelberg 1986

Authors and Affiliations

  • A. J. Fürsch
  • C. A. Baldamus

There are no affiliations available

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