Zusammenfassung
Als arteriovenöse (AV-) Gefäßzugänge zur chronischen Hämodialysebehandlung kommen native Fisteln und Prothesenshunts zum Einsatz. Wegen ihrer deutlich besseren Funktionsraten stellt die AV-Fistel den Gefäßzugang der ersten Wahl dar. So liegt die primäre 1-bis 2-Jahres-Offenheitsrate von AV-Fisteln bei 85–90%, diejenigen von Prothesenshunts lediglich bei 40–60% [12]. Die folgenden Leitlinien beschäftigen sich mit der operativen Anlage von AV-Gefäßzugängen sowie der chirurgischen und radiologisch-interventionellen Therapie von Komplikationen. Sie beruhen auf zwei aktuellen europäischen Leitlinien [1, 42], einer Literaturrecherche der letzten 20 Jahre sowie den eigenen Erfahrungen des Autors und einem nachfolgenden Prozess zur Konsensusbildung.
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Deutsche Gesellschaft für Gefäßchirurgie. (2010). Shuntchirurgie (S2). In: Leitlinien zu Diagnostik und Therapie in der Gefäßchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-04710-7_22
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