Arteriovenous Access Surgery : Ensuring Adequate Vascular Access for Hemodialysis / by Hans Scholz.

Format:

Book

Author/Creator:

Scholz, Hans, author.

Contributor:

SpringerLink (Online service)

Language:

English

Subjects (All):

Medicine.

Nephrology.

Surgery.

Blood-vessels--Surgery.

Blood-vessels.

Physical Description:

1 online resource

Contained In:

Springer eBooks

Place of Publication:

Berlin, Heidelberg : Springer Berlin Heidelberg : Imprint: Springer, 2015.

System Details:

Mode of Access: World Wide Web.

text file PDF

Summary:

Owing to demographic trends and medical progress, the number of patients requiring renal replacement therapy is increasing steadily. Longer survival on hemodialysis also means that surgeons have to face more complex and challenging situations regarding life-sustaining access vessels. This book offers a comprehensive overview of up-to-date knowledge on vascular access surgery. Written by a senior author with more than 30 years of experience and by expert contributors, it covers both surgical and theoretical aspects. The author shares his expertise in a hands-on approach, and presents his views on the difficulties that every clinician may encounter. The various options for vascular access creation are carefully reviewed. Detailed descriptions and numerous accompanying illustrations of AV fistulas, AV prosthetic grafts, and arterioarterial grafts are provided, and a chapter is also devoted to the use of central venous catheters. Potential complications and their management are explained in depth, and advice is offered on how to deal with special patient groups requiring extra attention. Separate chapters on fluid dynamics (drawing on the author's own research) and vascular pathology cater for the needs of those with a particular interest in the pathophysiological principles.

Contents:

Central venous catheters for hemodialysis

AV fistulas

AV shunts

Arterio-arterial grafts

Redo surgery with prosthetic grafts

Infections

Venous congestion after the creation of AV accesses

Stenoses and occlusions of central veins

Leakage of ePTFE grafts (perigraft seroma)

Insufficient peripheral perfusion and cardiac strain after AV access creation

Arterial reconstructions of AV accesses

Lymph edema of the arm after AV access surgery

Nerve lesions after AV access surgery

Special patient groups

Anticoagulation with AV accesses

Puncture techniques

Monitoring of vascular accesses

Histopathology of AV vascular accesses

Short introduction to fluid dynamics - relevant aspects for hemodynamics

Our methods.

Other Format:

Printed edition:

ISBN:

9783642411397

Access Restriction:

Restricted for use by site license.