Journal «Angiology and Vascular Surgery» • 

2015 • VOLUME 21 • №3

Permanent vascular access for haemodialysis

Manafov E.N., Batrashov V.A., Sergeev O.G., Yudaev S.S.

Department of Vascular Surgery, National Medico-Surgical Centre named after N.I. Pirogov under the Ministry of Public Health of the Russian Federation, Moscow, Russia

The presence of a permanent vascular access (PVA) is the pledge of successful treatment of patients being on chronic haemodialysis (CD). Creation and maintenance of a functioning PVA is the priority task of vascular and endovascular surgeons, nephrologists and specialists of haemodialysis departments. According to the KDOQI guidelines, the most preferable type of PVA is a native arteriovenous fistula (AVF). As an alternative it is possible to use a synthetic prosthesis for creating an arteriovenous shunt (AVS) or implantation of a central venous catheter (CVC). Various complications of vascular accesses leading to their loss create the necessity of forming just another PVA, thus negatively influencing the life span and quality of life of this cohort of patients. Improving surgical technique and approaches to treatment, as well as carrying out dynamic monitoring of the condition of the created PVA make it possible to considerably decrease the incidence rate of such complications and to improve the quality of medical care rendered.

KEY WORDS: permanent vascular access, haemodialysis, arteriovenous fistula, arteriovenous shunt, central venous catheter, complicated vascular access.

P. 193

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