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PERMANENT VASCULAR ACCESS FOR HEMODIALYSIS: A MODERN VIEW

https://doi.org/10.24884/1561-6274-2013-17-6-56-70

Abstract

At the modern period of medicine using the renal replacement therapy let reach full medical and social rehabilitation of patients with end-stage renal disease. The hemodialysis is the main method of extracorporal detoxication. The successful hemodialysis therapy depends on choosing the vascular access and maintaining it good condition while all patients life. In spite of various modification of blood accesses the native arteriovenous fistula is the most preferable type of vascular access for hemodialysis. The arteriovenous grafts are at the second line. Some different cases demand individual approach to choice the vascular access. Careful using, timely monitoring and revision keep saving the access for a long time and reducing a risk of complication. It can improve the quality of life patients with ESRD.

About the Authors

S. V. Alferov
Первый Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова
Russian Federation


S. A. Karpov
Первый Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова
Russian Federation


K. M. Grinev
Ленинградская областная клиническая больница
Russian Federation


A. N. Vasilyev
Первый Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова
Russian Federation


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For citations:


Alferov S.V., Karpov S.A., Grinev K.M., Vasilyev A.N. PERMANENT VASCULAR ACCESS FOR HEMODIALYSIS: A MODERN VIEW. Nephrology (Saint-Petersburg). 2013;17(6):56-70. (In Russ.) https://doi.org/10.24884/1561-6274-2013-17-6-56-70

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