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Innovationen von Dialyseshuntprothesen

Innovations in vascular access prosthetic grafts

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Zusammenfassung

Autologe arteriovenöse Fisteln sind der Goldstandard für den Hämodialysezugang. Arteriovenöse Prothesenshunts spielen eine wichtige Rolle für die Anlage eines permanenten Dialyseshunts, wenn autologe Möglichkeiten ausgeschöpft sind. Veränderungen in Design und Materialtechnologie zur Herstellung der Kunststoffprothesen helfen, deren Funktion und Langlebigkeit zu verbessern. Dieser Artikel betrachtet wichtige Entwicklungen von Dialyseshuntprothesen. Die verfügbare Literatur wird hinsichtlich ihrer Evidenz bewertet. Es wird eingeschätzt, dass die meisten Innovationen vielversprechend sind, aber noch keine ausreichende Evidenz besitzen.

Abstract

Autologous arteriovenous fistulas are the gold standard in vascular access surgery for hemodialysis. When autologous options have been exhausted, prosthetic arteriovenous grafts play an important role for creating a permanent vascular access. Changes in design and material technology used in graft manufacture are helping to improve graft performance and longevity. This article summarizes major developments in prosthetic grafts for vascular access. Supporting evidence from the literature is quoted when available. Most of the innovations, while promising, lack significant evidence-based support and this is also highlighted.

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  1. U. Klee

    Present address: Department of Vascular Surgery, King’s College Hospital, SE5 9RS, London, UK

Authors and Affiliations

  1. Klinik für Allgemein- und Viszeralchirurgie, Klinikum Burgenlandkreis, Humboldtstraße 31, 06618, Naumburg, Deutschland

    U. Klee

  2. Department of Vascular Surgery, King’s College Hospital, SE5 9RS, London, UK

    H. Mistry, R. Brar & D. Valenti MD, PhD

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  1. U. Klee
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  2. H. Mistry
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  3. R. Brar
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  4. D. Valenti MD, PhD
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Correspondence to U. Klee or D. Valenti MD, PhD.

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Klee, U., Mistry, H., Brar, R. et al. Innovationen von Dialyseshuntprothesen. Gefässchirurgie 17, 106–114 (2012). https://doi.org/10.1007/s00772-011-0958-3

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  • DOI: https://doi.org/10.1007/s00772-011-0958-3

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