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Shuntchirurgie (S2)

Leitlinie zur Anlage von arteriovenösen Gefäßzugängen zur Hämodialyse sowie zur Diagnostik und Therapie von zugangsassoziierten Komplikationen

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Leitlinien zu Diagnostik und Therapie in der Gefäßchirurgie

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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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    © 2010 Springer Medizin Verlag Heidelberg

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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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    • DOI: https://doi.org/10.1007/978-3-642-04710-7_22

    • Publisher Name: Springer, Berlin, Heidelberg

    • Print ISBN: 978-3-642-04709-1

    • Online ISBN: 978-3-642-04710-7

    • eBook Packages: Medicine (German Language)

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