RSS-Feed abonnieren
Bitte kopieren Sie die angezeigte URL und fügen sie dann in Ihren RSS-Reader ein.
https://www.thieme-connect.de/rss/thieme/de/10.1055-s-00000068.xml
Semin intervent Radiol 2016; 33(01): 052-055
DOI: 10.1055/s-0036-1578811
DOI: 10.1055/s-0036-1578811
Dialysis Access Anatomy and Interventions: A Primer
Weitere Informationen
Publikationsverlauf
Publikationsdatum:
22. März 2016 (online)

Abstract
The creation of arteriovenous fistulae and the use of arteriovenous grafts are a vital component in the treatment of patients undergoing dialysis. For many patients in this population, these accesses represent the permanent solution to their dialysis needs. Understanding the basic anatomy of the most common accesses used, as well as initial treatment of many underlying causes of access failure is vital for any interventionalist performing such procedures. This article outlines the most common approaches to surgically placed accesses used for renal replacement therapy, as well as the basics of interventional approaches used to treat the most common abnormalities causing their dysfunction.
-
References
- 1 Ravani P, Palmer SC, Oliver MJ , et al. Associations between hemodialysis access type and clinical outcomes: a systematic review. J Am Soc Nephrol 2013; 24 (3) 465-473
- 2 Quencer KB, Arici M. Arteriovenous fistulas and their characteristic sites of stenosis. AJR Am J Roentgenol 2015; 205 (4) 726-734
- 3 Chazan JA, London MR, Pono LM. Long-term survival of vascular accesses in a large chronic hemodialysis population. Nephron 1995; 69 (3) 228-233
- 4 Dhingra RK, Young EW, Hulbert-Shearon TE, Leavey SF, Port FK. Type of vascular access and mortality in U.S. hemodialysis patients. Kidney Int 2001; 60 (4) 1443-1451
- 5 Stevenson KB, Hannah EL, Lowder CA , et al. Epidemiology of hemodialysis vascular access infections from longitudinal infection surveillance data: predicting the impact of NKF-DOQI clinical practice guidelines for vascular access. Am J Kidney Dis 2002; 39 (3) 549-555
- 6 Brescia MJ, Cimino JE, Appel K, Hurwich BJ. Chronic hemodialysis using venipuncture and a surgically created arteriovenous fistula. N Engl J Med 1966; 275 (20) 1089-1092
- 7 Zaleski G. Declotting, maintenance, and avoiding procedural complications of native arteriovenous fistulae. Semin Intervent Radiol 2004; 21 (2) 83-93
- 8 Weiswasser JM, Kellicut D, Arora S, Sidawy AN. Strategies of arteriovenous dialysis access. Semin Vasc Surg 2004; 17 (1) 10-18
- 9 Mickley V. Steal syndrome—strategies to preserve vascular access and extremity. Nephrol Dial Transplant 2008; 23 (1) 19-24
- 10 Nassar GM, Nguyen B, Rhee E, Achkar K. Endovascular treatment of the “failing to mature” arteriovenous fistula. Clin J Am Soc Nephrol 2006; 1 (2) 275-280
- 11 Perera GB, Mueller MP, Kubaska SM, Wilson SE, Lawrence PF, Fujitani RM. Superiority of autogenous arteriovenous hemodialysis access: maintenance of function with fewer secondary interventions. Ann Vasc Surg 2004; 18 (1) 66-73
- 12 Asif A, Gadalean FN, Merrill D , et al. Inflow stenosis in arteriovenous fistulas and grafts: a multicenter, prospective study. Kidney Int 2005; 67 (5) 1986-1992
- 13 Kakkos SK, Haddad GK, Weaver MR, Haddad RK, Scully MM. Basilic vein transposition: what is the optimal technique?. Eur J Vasc Endovasc Surg 2010; 39 (5) 612-619
- 14 Tessitore N, Mansueto G, Bedogna V , et al. A prospective controlled trial on effect of percutaneous transluminal angioplasty on functioning arteriovenous fistulae survival. J Am Soc Nephrol 2003; 14 (6) 1623-1627
- 15 National Kidney Foundation-Dialysis Outcomes Quality Initiative. NKF-DOQI clinical practice guidelines for vascular access. Am J Kidney Dis 1997; 30 (4) (Suppl. 03) S150-S191
- 16 John A. Bittl, MD. “Catheter Interventions for Hemodialysis Fistulas and Grafts. J Am Coll Cardiol Intv 2010; 3 (1) 1-11
- 17 Huber TS, Carter JW, Carter RL, Seeger JM. Patency of autogenous and polytetrafluoroethylene upper extremity arteriovenous hemodialysis accesses: a systematic review. J Vasc Surg 2003; 38 (5) 1005-1011
- 18 Roberts AB, Kahn MB, Bradford S , et al. Graft surveillance and angioplasty prolongs dialysis graft patency. J Am Coll Surg 1996; 183 (5) 486-492
- 19 Martin LG, MacDonald MJ, Kikeri D, Cotsonis GA, Harker LA, Lumsden AB. Prophylactic angioplasty reduces thrombosis in virgin ePTFE arteriovenous dialysis grafts with greater than 50% stenosis: subset analysis of a prospectively randomized study. J Vasc Interv Radiol 1999; 10 (4) 389-396
- 20 2006, NKF-K/DOQI Clinical Practice Guidelines for Vascular Access: update. American College of Radiology. ACR–SIR PRACTICE PARAMETER FOR ENDOVASCULAR MANAGEMENT OF THE THROMBOSED OR DYSFUNCTIONAL DIALYSIS ACCESS. acr.org. 2014. http//www.acr.org . Accessed November 2015
- 21 Kanterman RY, Vesely TM, Pilgram TK, Guy BW, Windus DW, Picus D. Dialysis access grafts: anatomic location of venous stenosis and results of angioplasty. Radiology 1995; 195 (1) 135-139
- 22 Brotman DN, Fandos L, Faust GR, Doscher W, Cohen JR. Hemodialysis graft salvage. J Am Coll Surg 1994; 178 (5) 431-434
- 23 Aruny JE, Lewis CA, Cardella JF , et al; Society of Interventional Radiology Standards of Practice Committee. Quality improvement guidelines for percutaneous management of the thrombosed or dysfunctional dialysis access. J Vasc Interv Radiol 2003; 14 (9 Pt 2): S247-S253
- 24 Forauer AR, Hoffer EK, Homa K. Dialysis access venous stenoses: treatment with balloon angioplasty—1- versus 3-minute inflation times. Radiology 2008; 249 (1) 375-381
- 25 Saleh HM, Gabr AK, Tawfik MM, Abouellail H. Prospective, randomized study of cutting balloon angioplasty versus conventional balloon angioplasty for the treatment of hemodialysis access stenoses. J Vasc Surg 2014; 60 (3) 735-740
- 26 Sheley RC, Schuman ES, Standage BA, Ragsdale JW, Feliciano PD, Quinn SF. Local delivery of heparin with balloon angioplasty: results of a prospective randomized trial. J Vasc Interv Radiol 1996; 7 (6) 853-858
- 27 Katsanos K, Karnabatidis D, Kitrou P, Spiliopoulos S, Christeas N, Siablis D. Paclitaxel-coated balloon angioplasty vs. plain balloon dilation for the treatment of failing dialysis access: 6-month interim results from a prospective randomized controlled trial. J Endovasc Ther 2012; 19 (2) 263-272
- 28 Bittl JA. Venous rupture during percutaneous treatment of hemodialysis fistulas and grafts. Catheter Cardiovasc Interv 2009; 1097-1101