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Gefäßzugang bei Hämodialyse

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Evidenzbasierte Gefäßchirurgie

Part of the book series: Evidenzbasierte Chirurgie ((EC))

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Zusammenfassung

Primär sollte als Gefäßzugang für die Hämodialyse eine radiocephalische Fistel am Handgelenk angelegt werden; wenn dies nicht möglich ist, eine brachiocephalische Fistel am Ellenbogen und erst danach eine transponierte brachiale V. basilica Fistel. Nach Ausschöpfung dieser Möglichkeiten ist der Prothesenshunt aus synthetischem oder biologischem Material eine akzeptierte Option, wobei zunächst die Unterarm-Loop-Prothese (bevorzugt vor einer geraden Prothese) und dann erst die Oberarm-Shuntprothese versucht werden sollten.

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Authors and Affiliations

  1. Klinik und Poliklinik für Gefäßmedizin, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland

    E. Sebastian Debus

  2. ehem. Wissenschaftlicher Medizinischer Direktor Kreiskliniken Altötting-Burghausen, Burghausen, Bayern, Deutschland

    Reinhart T. Grundmann

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  1. E. Sebastian Debus
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Correspondence to E. Sebastian Debus .

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Debus, E.S., Grundmann, R.T. (2019). Gefäßzugang bei Hämodialyse. In: Evidenzbasierte Gefäßchirurgie. Evidenzbasierte Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-57709-7_16

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  • DOI: https://doi.org/10.1007/978-3-662-57709-7_16

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-57708-0

  • Online ISBN: 978-3-662-57709-7

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