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Methoden zur Planung und Kontrolle

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Dialyseshunts

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Zusammenfassung

Hat ein Nierenpatient ein hohes Risiko für eine chronische Dialysebehandlung, sollten rechtzeitig am nichtdominanten Arm die Venen geschont („safe the veins“) und trainiert und der Patient dem Shuntchirurgen vorgestellt werden, der zur OP-Planung duplexsonographisch die arterielle Versorgung und den venösen Abstrom darstellt. Die Duplexsonographie ist das Mittel der Wahl zur morphologischen und funktionellen prä-, intra- und postoperativen Darstellung der Gefäße. Zur Vermeidung eines frühen Shuntversagens sollten postoperative duplexsonographische Untersuchungen erfolgen. Im Fall einer Shuntdysfunktion und duplexsonographisch nicht ausreichender Darstellbarkeit der zentralen Gefäße kommen alternativ angiographische Untersuchungsmethoden zur Anwendung, vorzugsweise die CO2-Angiographie bei Patienten mit erhaltener Restnierenfunktion.

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Author information

Authors and Affiliations

  1. Haaner Str. 114, 42719, Solingen, Deutschland

    W. Hepp

  2. Asklepios Gesundheitszentrum Barmbek, Ärztlicher Leiter ShuntZentrum Hamburg, Rübenkamp 220, 22291, Hamburg, Deutschland

    F. Johnsen

  3. HELIOS Universitätsklinikum Wuppertal, Zentrum für Radiologie, Heusnerstr. 40, 42283, Wuppertal, Deutschland

    L. Kamper

  4. HELIOS Universitätsklinikum Wuppertal, Zentrum Für Radiologie, Heusnerstrasse 40, 42283, Wuppertal, Deutschland

    P. Haage

  5. DKD HELIOS Klinik Wiesbaden, Fachbereich Shuntchirurgie, Aukammallee 33, 65191, Wiesbaden, Deutschland

    G. Krönung

Authors
  1. W. Hepp
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  2. B. Nonnast-Daniel†
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  3. F. Johnsen
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  4. L. Kamper
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  5. P. Haage
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  6. G. Krönung
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Corresponding author

Correspondence to W. Hepp .

Editor information

Editors and Affiliations

  1. Solingen, Germany

    Wolfgang Hepp

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

    Michael Koch

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Hepp, W., Nonnast-Daniel†, B., Johnsen, F., Kamper, L., Haage, P., Krönung, G. (2017). Methoden zur Planung und Kontrolle. In: Hepp, W., Koch, M. (eds) Dialyseshunts. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-52699-6_3

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  • DOI: https://doi.org/10.1007/978-3-662-52699-6_3

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  • Online ISBN: 978-3-662-52699-6

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