Skip to main content
SpringerLink
Log in

Diagnostik und Therapie bei Komplikationen

  • Chapter
Dialyseshunts

  • 24 Accesses

Zusammenfassung

Komplikationen in der Shuntchirurgie sind aufgrund der ständigen Punktion verständlicherweise häufig, für den Patienten oft akut lebensbedrohlich und für den Chirurgen meist weniger ein technisches als ein logistisches Problem. Tabelle 6.1.1 zeigt einen Überblick über mögliche Shuntkomplikationen.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 54.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Biedermann HS, Weimann S, Flora G (1982) Das Dialyseshuntaneurysma. VASA 11: 136–138

    PubMed  CAS  Google Scholar 

  2. Bonnaud P, Lebkiri B, Boudiri L, Man NK (1994) Preserved saphenous grafts in hemodialysis. 20 years’ experience. Nephrologie 15: 177–180

    PubMed  CAS  Google Scholar 

  3. Borchard F, Loose DA, Kemkes BM (1981) Morphologische Befunde an arteriovenösen Fisteln zur Hämodialyse. Angio 3: 135–145

    Google Scholar 

  4. Glanz S, Gordon DH, Butt KMH, Hong J, Lipkowitz GS (1987) The role of percutaneous angioplasty in the management of chronic hemodialysis fistulas. Ann Surg 206: 777–781

    Article  PubMed  CAS  Google Scholar 

  5. Gutschi S, Pascher O, Koter H (1985) Dialyseshuntaneurysmen: Diagnose und Therapie. angio archiv 8:162–164

    Google Scholar 

  6. Hodde LA, Sandroni S (1992) Emergency department evaluation and management of dialysis patient complications. J Emerg Med 10: 317–334

    Article  PubMed  CAS  Google Scholar 

  7. Kemkes BM, Borchard F (1983) Complications and surgical treatment after angio access. In: Koostra GP, Jörning JG (eds) Access surgery. MTP Press, Lancaster, Boston, The Hague, pp 203–215

    Chapter  Google Scholar 

  8. Nakagawa Y, Ota K, Sato Y, Fuchinoue S, Teraoka S, Agishi T (1994) Complications in blood access for hemodialysis. Artif Organs 18: 283–288

    Article  PubMed  CAS  Google Scholar 

  9. Ruschewski U, Kindhäuser V, Dostal G (1981) Die operative Korrektur typischer Spätkomplikationen nach Cimino-Fisteln. Angio 3: 177–182

    Google Scholar 

  10. Selby J B jr, Pruett TL, Westervelt FB Jr, Tegtmeyer CJ, Poole CL (1992) Treatment of hemodialysis fistula pseudoaneurysmas with detachable balloons: technique and preliminary results. J Vasc Intery Radiol 3: 505–510

    Article  Google Scholar 

  11. Wilson SE, Connall TP, White R, Connolly JE (1993) Vascular access surgery as an outpatient procedure. Ann Vasc Surg 7: 325–329

    Article  PubMed  CAS  Google Scholar 

  12. Beckers B, Brodersen HP, Stolpmann RM, Jansen G, Larbig D (1993) Efficacy and pharmacokinetics of teicoplanin in hemodialysis patients. Infection 21: 71–74

    Article  PubMed  CAS  Google Scholar 

  13. Boelaert JR, van Landuyt HW, Godard CA, Daneels RF, Schurgers ML, Matthys EG, de Baere YA, Gheyle DW, Gordts BZ, Herwaldt LA (1993) Nasal mupirocin ointment decreases the incidence of Staphylococcus aureus bacteraemias in haemodialysis patients. Nephrol Dial Transplant 8: 235–239

    Article  PubMed  CAS  Google Scholar 

  14. Bornstein PF, Ditto AM, Noskin GA (1992) Serratia marcescens cellulitis in a patient on hemodialysis. Am J Nephrol 12: 374–376

    Article  PubMed  CAS  Google Scholar 

  15. Braun DK, Janssen DA, Marcus JR, Kauffman CA (1994) Cryptococcal infection of a prostetic dialysis fistula. Am J Kidney Dis 24: 864–867

    PubMed  CAS  Google Scholar 

  16. Capdevila JA, Segarra A, Planes AM, Ramirez-Arellano M, Pahissa A, Piera L, Martinez-Vazquez JM (1993) Successful treatment of haemodialysis catheter-related sepsis without catheter removal. Nephrol Dial Transplant 8: 231–234

    PubMed  CAS  Google Scholar 

  17. Davies SP, Lacey LF, Kox WJ, Brown EA (1991) Pharmacocinetics of cefuroxime and ceftazidime in patients with acute renal failure treated by continous arteriovenous haemodialysis. Nephrol Dial Transplant 6: 971–975

    Article  PubMed  CAS  Google Scholar 

  18. Didlake R, Curry E, Bower J (1994) Composite dialysis access grafts. J Am Coll Surg 178:24–28

    PubMed  CAS  Google Scholar 

  19. Fakir M, Saison C, Wong T, Matta B, Hardin JM (1992) Septicemia due to Yersinia enterocolica in a hemodialysed, iron-depleted patient receiving omeprazole and oral iron supplementation. Am J Kidney Dis 19: 282–284

    PubMed  CAS  Google Scholar 

  20. Hoeffler D, Koeppe P, Corcillius M, Przyklinik A (1990) Cefpodoxime proxetil in patients with endstage renal failure on haemodialysis. Infection 18: 157–162

    Article  Google Scholar 

  21. Gifford RM (1985) Management of tunnelinfection of dialysis PTFE-grafts. J Vasc Surg 2: 854–857

    PubMed  CAS  Google Scholar 

  22. Gurland HH (1973) Combined report on regular dialysis and transplantation in Europe. Proc of EDTA, 1–52

    Google Scholar 

  23. Horowitz ID, Blumberg EA, Krevolin L (1993) Cryptococcus albidus and mucormycosis empyema in a patient receiving hemodialysis. South Med J 86: 1070–1072

    Article  PubMed  CAS  Google Scholar 

  24. John GT, Thomas PP, Thomas M, Jeyaseelan L, Jacob CK, Shastry JCM (1994) A double-blind randomized controlled trial of primary isoniazid prophylaxis in dialysis and transplant patients. Transplant 57: 1683–1684

    CAS  Google Scholar 

  25. Kessler M, Hoen B, Mayeux D, Hestin D, Fontenaille C (1993) Bacteriemia in patients on chronic hemodialysis. A multicenter prospective survey. Nephron 64: 95–100

    Article  PubMed  CAS  Google Scholar 

  26. Keller F, Horstensmeyer C, Looby M, Borner K, Pommer W, Erdmann K, Giehl M (1994) Vancomycin dosing in haemodialysis patients and baysian estimate of individual pharmacocinetic parameters. Int J Artific Org 17: 19–26

    CAS  Google Scholar 

  27. Koch C, Ernst M, Schaeffer K, Harnoss BM (1991) Ergebnisse der Shuntchirurgie im UK Steglitz. Angio Archiv 22: 30–35

    Google Scholar 

  28. Korzets A, Katz S, Chagnac A, Katz M, Gafter U, Zevin D, Levi J (1994) An infected right atrial thrombus — a new complication of haemodialysis associated subclavian vein catheterisation. Nephrol Dial Transplant 9: 1652–1654

    PubMed  CAS  Google Scholar 

  29. Leonetti F, Raoult D, Dussol B, Brunet P, Berland Y (1994) Chronic Q Fever in hemodialysis patients. Nephron 67: 231–233

    Article  PubMed  CAS  Google Scholar 

  30. McDowell DE, Moss AH, Vasiliakis C, Bell R, Pillai L (1993) Percutaneously placed dual-lumen silicone catheters for long-term hemodialysis. Am Surg 59: 569–573

    PubMed  CAS  Google Scholar 

  31. Mulloy LL, Caruana RJ, Steele JC Jr, Wynn JJ (1991) Polymicrobial bacteremia during long-term hemodialysis. South Med J 84: 594–596

    PubMed  CAS  Google Scholar 

  32. Naundorf M (1991) Der infizierte AV-Shunt — operativ-technische Korrekturmöglichkeiten. Angio Archiv 22: 63–68

    Google Scholar 

  33. Naundorf M (1993) Der infizierte av-Shunt. Operativ-technisches Management und Möglichkeiten der Korrektur. In: Sommoggy S von, Kistler D (Hrsg) Hämodialyse, Shuntchirurgie. Neue Wege, Komplikationen, Sekundäreingriffe. Blackwell Wissenschaft, Berlin

    Google Scholar 

  34. Nolph KD (1993) Access problems plague both peritoneal dialysis and hemodialysis. Kidney Int (Suppl) 40: 81–84

    Google Scholar 

  35. Padberg FT Jr, Lee BC, Curl GR (1992) Hemoaccess site infection. Surg Gynecol Obstet 174: 103–108

    PubMed  Google Scholar 

  36. Sariego J, Bootorabi B, Matsumoto T, Kerstein M (1993) Major long-term complications in 1,422 permanent venous access devices. Am J Surg 165: 249–251

    Article  PubMed  CAS  Google Scholar 

  37. Taylor B, Sigley RD, May KJ (1993) Fate of infected and eroded hemodialysis grafts and autogenous fistulas. Am J Surg 165: 632–636

    Article  PubMed  CAS  Google Scholar 

  38. Vathada M, Neiberger RE, Pena DR, Fennell RS, Richard GA (1994) Complications of hemodialysis catheters in children. Dial Transplant 23: 240–247

    Google Scholar 

  39. Zühlke HV, Harnoss BM, Lorenz EPM (1994) Septische Gefäßchirurgie, 2. Aufl. Blackwell Wissenschaft, Berlin

    Google Scholar 

  40. Ahn SS, Machleder HI, Gupta R, Moore WS (1987) Perigraft Seroma: clinical, histologic and serologic correlates. Am J Surg 154:173–178

    Article  PubMed  CAS  Google Scholar 

  41. Baker JD (1987) Bleeding through PTFE-Grafts. Eur J Vasc Surg 1: 41–43

    Article  PubMed  CAS  Google Scholar 

  42. Bellenot F, Chatenet T, Kantelip B, Tissaudier P, Ribal JP, Glanddier G (1988) Aseptic periprosthetic fluid collection: a late complication of Dacron arterial bypass. Ann Vasc Surg 3: 220–224

    Article  Google Scholar 

  43. Blumenberg RM, Gelfand ML, Dale WA (1985) Perigraft seromas complicating arterial grafts. Surgery 97:194–203

    PubMed  CAS  Google Scholar 

  44. Bolton W, Cannon JA (1981) Seroma formation associated with PTFE vascular grafts used as arteriovenous fistulae. Dialysis & Transplantation 10: 61–66

    Google Scholar 

  45. Borreo E, Doscher W (1988) Chronic perigrafts seromas in PTFE-grafts. J Cardiovasc Surg 29: 46–49

    Google Scholar 

  46. Boyce B (1982) Physical characteristics of expanded Polytetrafluoroethylene Grafts. Biologic and Synthetic Vascular Protheses. Grune & Stratton, Inc., New York, pp 553–561

    Google Scholar 

  47. Dolovich J, Marshall CP, Smith EKM, Shimizu A et al. (1984) Allergy to Ethylene Oxide in chronic Hemodialysis Patients. Artif Organs 8: 334–337

    Article  PubMed  CAS  Google Scholar 

  48. Gandhi RH, Wheeler JR, Gregory RT (1993) Advances in Vascular Prosthetics: The Gore-Tex e PTFE Stretch Graft. Cardiovasc Surg Surgical Technology International II, 293–297

    Google Scholar 

  49. Kaupp HA, Matulewicz TJ, Lattimer GL, Kreimen JE, Celani VJ (1979) Graft infection or Graft reaction? Arch Surg 114:1419–1422

    Article  PubMed  CAS  Google Scholar 

  50. Kogel H, Vollmar JF, Mohr W, Friese M (1991) Formenwandel der Perigraftreaktion. VASA (Suppl) 33: 88–89

    CAS  Google Scholar 

  51. Marois Y, Roy R, Marois M, Guidoin RG et al. (1992) T Lymphocyte modification with the UTA microporous polyurethane vascular prosthesis: in vivo studies in rats. Clin Invest Med 15:141–149

    PubMed  CAS  Google Scholar 

  52. Naundorf M (1991) Der infizierte AV-Shunt — operativ-technische Korrekturmöglichkeiten. angio-archiv 22: 62–67

    Google Scholar 

  53. Vollmar JF, Guconer NW, Mohr W, Paes E (1987) Perigraftreaction after implantation of vascular prosthesis. Inter Angio 6: 287–293

    CAS  Google Scholar 

  54. Grüntzig A, Hopff H (1974) Perkutane Rekanalisation chronischer arterieller Verschlüsse mit einem neuen Dilatationskatheter. Modifikation der Dotter-Technik. Dtsch med Wschr 99: 2502–2505

    Article  PubMed  Google Scholar 

  55. Hepp W, de Jonge K, Scholz A, Langer R, Langer M (1991) Diagnostisches und therapeutisches Konzept beim „failing“-Shunt. Angio archiv 22: 20–26

    Google Scholar 

  56. Keller F, Loewe HJ, Bauknecht KJ, Schwarz A, Offermann G (1988) Kumulative Funktionsraten von orthotopen Dialysefisteln und Interponaten. Dtsch Med Wschr 113: 332–336

    Article  PubMed  CAS  Google Scholar 

  57. Kherlakian GM, Roedersheimer LR, Arbaugh JJ, Newmark KJ, King LR (1986) Comparison of autogenous fistula versus expanded polytetrafluoroethylene graft fistula for angio access in hemodialysis. Am J Surg 152: 238–243

    Article  PubMed  CAS  Google Scholar 

  58. Palder SB, Kirkman RL, Whittemore AD, Hakim RM, Lazarus JM, Tilney NL (1985) Vascular access for hemodialysis. Ann Surg 202: 235–239

    Article  PubMed  CAS  Google Scholar 

  59. Rinast E (1995) Perkutan-interventionelle Therapie insuffizienter Hämodialyseshunts. Habilitationsschrift, Medizinische Universität Lübeck

    Google Scholar 

  60. Rinast E, Gmelin E, Zwaan M (1991) Lokale Fibrinolyse bei frisch thrombosierten Prothesenshunts. Angio archiv 22: 78–81

    Google Scholar 

  61. Zollikofer CL, Antonucci F, Stuckmann G, Mattias P, Bruhlmann WF, Salomonowitz EK (1992) Use of the Wallstent in the venous system including hemodialysis-related stenoses. Cardiovasc Intervent Radiol 15: 334–341

    Article  PubMed  CAS  Google Scholar 

  62. Brotman D, Fandos L, Faust G, Doscher W, Cohen J (1994) Hemodialysis graft salvage. J Am Coll Surg 178: 431–434

    PubMed  CAS  Google Scholar 

  63. Davis G, Dowd C, Bookstein J, Maroney T, Lang E, Halasz N (1987) Thrombosed dialysis grafts. Efficacy of intrathrombic deposition of concentrated urokinase, clot maceration and angioplasty Am J Roentgenol 149:177–181

    Article  CAS  Google Scholar 

  64. Valji K, Bookstein J, Roberts A, Davis G (1991) Pharmacomechanical thrombolysis and angioplasty in the management of clotted hemodialysis grafts: early and late clinical results. Radiology 178: 243–248

    PubMed  CAS  Google Scholar 

  65. Vorwerk D, Sohn M, Schurmann K, Hoogeveen Y, Gladziwa U, Guenther RW (1994) Hydrodynamic thrombectomy of hemodialysis fistulas: first clinical results. J Vasc Intervent Radiol 5: 813–821

    Article  CAS  Google Scholar 

  66. Vorwerk D, Günther RW, Schürmann K, Sohn M (1995) Perkutane Behandlungsmöglichkeiten beim thrombotischen Verschluß von Brescia-Cimino-Dialyseshunts. Fortschr Röntgenstr 162: 236–240

    Article  CAS  Google Scholar 

  67. Bohndorf K, Günther RW, Vorwerk D, Gladziwa U, Kistler D, Siebert HG (1990) Technical aspects and results of percutaneous transluminal angioplasty in brescia-cimino dialysis fistulas. Cardiovasc Intervent Radiol 13: 323–326

    Article  PubMed  CAS  Google Scholar 

  68. Bone GE, Pomajzl MJ (1979) Management of dialysis fistula thrombosis. Am J Surgery 138: 901–906

    Article  CAS  Google Scholar 

  69. Dapunt O, Feuerstein M, Rendl KH, Prenner K (1987) Transluminal angioplasty versus conventional operation in the treatment of haemodialysis fistula stenosis: results from a 5-year study. Br J Surg 74: 1004–1005

    Article  PubMed  CAS  Google Scholar 

  70. Fillinger MF, Reinitz ER, Schwartz RA (1990) Graft geometry and venous intimalmedial hyperplasia in arteriovenous loop grafts. J Vasc Surg 11: 556–566

    PubMed  CAS  Google Scholar 

  71. Glanz S, Gordon DH, Butt KMD, Hong J, Adamsons R, Sclafani SJA (1985) Stenotic lesions in dialysis access fistulas: treatment by transluminal angioplasty using high-pressure balloons. Radiology 156: 236–642

    PubMed  CAS  Google Scholar 

  72. Gmelin, E (1987) Indikationen zur perkutanen transluminalen Angioplastie (PTA) bei Funktionsstörungen von Hämodialysefisteln. Dtsch med Wschr 112: 13–16

    Article  PubMed  CAS  Google Scholar 

  73. Gmelin E, Fricke L, Borgis KJ, Hoyer J (1986) Erste Erfahrungen mit der PTC von Hämodialyseshunts. Fortschr Röntgenstr 144: 26–29

    Google Scholar 

  74. Horsch S, David A, Beyer D (1991) Komplikationen nach perkutaner transluminaler Angioplastie und ihre gefäßchirurgische Therapie. Zentbl Chir 116: 627–639

    CAS  Google Scholar 

  75. Horstmann R, Püllenberg P, Holzgreve A, Hohlbach G (1994) Die intraoperative transluminale Angioplastie in der Behandlung des thrombosierten Dialyseshunts. Langenbecks Arch Chir Suppl 965–968

    Google Scholar 

  76. Koch C, Ernst M, Schäfer K, Harnoss BM (1991) Ergebnisse der Shuntchirurgie im UK Steglitz. angio archiv 22: 30–33

    Google Scholar 

  77. Paulain F, Raynaud A, Bourquelot P, Knight C, Rovani X, Gaux JC (1991) Local thrombolysis and thromboaspiration in the treatment of acutely thrombosed arteriovenous hemodialysis fistulas. Cardiovasc Intervent Radiol 14: 98–101

    Article  Google Scholar 

  78. Saeed M, Newman GE, McCann RL, Sussman SK, Braun SD, Dunnick NR (1987) Stenoses in dialysis fistulas: treatment with percutaneous angioplasty. Radiology 164: 693–697

    PubMed  CAS  Google Scholar 

  79. Schröder A, Horstmann R, Omar F (1991) Komplikationen durch Verwendung von Ballonkathetern bei der arteriellen Thrombembolektomie. Chirurg 62: 557–560

    PubMed  Google Scholar 

  80. Schwab SJ, Saeed M, Sussman SK, McCann RL, Stickel DL (1987) Transluminal angioplasty of venous stenoses in polytetrafluoroethylene vascular access grafts. Kidney-Int 32:395–398

    Article  PubMed  CAS  Google Scholar 

  81. Turmel-Rodrigues L, Pengloan J, Blanchier D, Abaza, M, Birmele B, Haillot O, Blanchard D (1993) Insufficient dialysis shunt: improved long-term patency rates with close hemodynamic monitoring repeated percutaneous balloon angioplasty, and stent placement. Radiology 187: 273–278

    PubMed  CAS  Google Scholar 

Download references

Authors
  1. M. Kaufmann
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. D. Raithel
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. H. Hauser
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. S. Gutschi
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. H. Fruhwirth
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. G. Koch
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. E. P. M. Lorenz
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. A. K. Wagner
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. B. Weber
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. R. Häring
    View author publications

    You can also search for this author in PubMed Google Scholar

  11. M. Naundorf
    View author publications

    You can also search for this author in PubMed Google Scholar

  12. E. Rinast
    View author publications

    You can also search for this author in PubMed Google Scholar

  13. M. Zwaan
    View author publications

    You can also search for this author in PubMed Google Scholar

  14. C. Kagel
    View author publications

    You can also search for this author in PubMed Google Scholar

  15. S. Heise
    View author publications

    You can also search for this author in PubMed Google Scholar

  16. H.-D. Weiss
    View author publications

    You can also search for this author in PubMed Google Scholar

  17. D. Vorwerk
    View author publications

    You can also search for this author in PubMed Google Scholar

  18. R. W. Günther
    View author publications

    You can also search for this author in PubMed Google Scholar

  19. R. Horstmann
    View author publications

    You can also search for this author in PubMed Google Scholar

  20. A. Holland
    View author publications

    You can also search for this author in PubMed Google Scholar

  21. G. Hohlbach
    View author publications

    You can also search for this author in PubMed Google Scholar

  22. D. Vorwerk
    View author publications

    You can also search for this author in PubMed Google Scholar

  23. R. W. Günther
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Fachbereich Gefäßchirurgie, St. Josef-Krankenhaus, Haan, Robert-Koch-Str. 16, 42781, Haan, Deutschland

    W. Hepp

  2. Chirurgische Abteilung, St. Hedwigs-Krankenhaus, Große Hamburger Str. 5-11, 10115, Berlin, Deutschland

    M. Hegenscheid

  3. Köln, Deutschland

    K. Konner

  4. Erfurt, Deutschland

    H. Thieler

Rights and permissions

Reprints and permissions

Copyright information

© 1998 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Kaufmann, M. et al. (1998). Diagnostik und Therapie bei Komplikationen. In: Hepp, W., Hegenscheid, M., Konner, K., Thieler, H. (eds) Dialyseshunts. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-662-11473-5_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-11473-5_7

  • Publisher Name: Steinkopff, Heidelberg

  • Print ISBN: 978-3-662-11474-2

  • Online ISBN: 978-3-662-11473-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation