Izvorni znanstveni članak
https://doi.org/10.20471/acc.2021.60.s1.10
Endovascular Creation of Haemodialysis Arteriovenous Fistula
Luka Novosel
orcid.org/0000-0001-7515-9110
; Department of Diagnostic and Interventional Radiology, Sestre Milosrdnice University Hospital Center
Vinko Vidjak
; Department of Diagnostic and Interventional Radiology, Clinical Hospital Merkur
Dijana Zadravec
; Department of Diagnostic and Interventional Radiology, Sestre Milosrdnice University Hospital Center
Sažetak
Surgical fistulas have been used to create dialysis access for over 50 years in chronic
kidney disease patients. However, due to problems like slow maturation and a high risk of thrombosis
or stenosis, results remain sub-optimal with high intervention and surgery rates to maintain
patency.
Endovascular methods for fistula creation were invented recently to resolve these issues, allowing
haemodialysis patients to have an alternative non-surgical option, with two different devices currently
available. Endovascular creation of A-V fistulas is involved with minimal vessel trauma, which could
be the reason for encouraging initial results demonstrating high technical success rates, low intervention
rates, and good patient satisfaction. This article describes the technical aspects of these procedures,
patient selection as well as trial results, and the status of endovascular arteriovenous fistula
creation.
Ključne riječi
Chronic kidney disease; Dialysis access; Arteriovenous fistula; Surgery; Endovascular procedures
Hrčak ID:
260298
URI
Datum izdavanja:
1.1.2021.
Posjeta: 1.547 *