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Die Hohe Schule der AV-Shuntchirurgie Durch die zunehmende Lebenserwartung vieler Dialysepatienten werden immer mehr AV-Shuntoperationen für die Hämodialyse erforderlich. Immer größer wird auch der Anteil der komplizierten Mehrfacheingriffe; zahlreiche Fragen ergeben sich zu ihrer adäquaten Anwendung. Die Antworten finden Sie in diesem Buch. Aus seiner langjährigen klinischen und wissenschaftlichen Arbeit gibt der Autor Empfehlungen · zur Auswahl des individuell sinnvollsten Eingriffes aus einer Vielzahl von Möglichkeiten, · zur Beherrschung möglicher Komplikationen, · zur Auswahl des nächst folgenden Eingriffes. Ausführlich wird die Hämodynamik als Grundlage für die klinischen Entscheidungen dargestellt. Über 400 detaillierte Zeichnungen zu den einzelnen Eingriffen illustrieren das breite Spektrum der operativen Möglichkeiten. Für jede Ausgangssituation – immer die beste Lösung für Ihren Patienten!
Surgery. --- Vascular surgery. --- Nephrology. --- Vascular Surgery. --- Hemodialysis. --- Arteriovenous shunts, Surgical.
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Der Dialyseshunt als moderne Form des permanenten Gefäßzugangs ist grundlegender Bestandteil der Betreuung des chronisch niereninsuffizienten Patienten. In diesem Band wird das komplette Spektrum der Fragestellungen rund um Dialyseshunts fachkundig und umfassend abgehandelt: von der interdisziplinären Vorbereitung der Gefäßuntersuchung durch Nephrologen und Gefäßchirurgen, über die Diskussion unterschiedlicher chirurgischer Möglichkeiten der direkten Gefäßzugänge bis hin zur Shuntpflege und Shuntpunktion. Darüber hinaus werden Diagnostik und Therapie bei Komplikationen sowie alternative Dialysezugänge detailliert dargestellt. Mit der 1. Auflage dieses Buches wurde vor 10 Jahren erstmals eine interdisziplinäre, gefäßchirurgisch und nephrologisch angelegte Darstellung des großen Gebietes der Dialyseshunts in deutscher Sprache vorgelegt. Diese 2. Auflage belegt die weitere rasche Entwicklung dieses immens wichtigen Gebietes.
Vascular surgery. --- Nephrology. --- Urology. --- Vascular Surgery. --- Hemodialysis. --- Arteriovenous shunts, Surgical.
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The incidence of treated end stage renal disease (ESRD) continues to rise, particularly in the western world. Although renal transplantation is the treatment of choice for ESRD, the decline in the number of cadaveric organs, coupled with the rising demand for transplantation, means that an increasing number of patients will have to depend on dialysis. Vascular or peritoneal access is the Achilles' heel of any dialysis service. This book offers a clear description of the state of the art in providing and preserving a durable and reliable access. It also points the way to dialysis in the 21st
Hemodialysis. --- Arteriovenous shunts, Surgical. --- Access, Vascular --- Angioaccess --- Shunts, Surgical arteriovenous --- Surgical arteriovenous shunts --- Vascular access --- Blood-vessels --- Blood --- Blood dialysis --- Extracorporeal dialysis --- Kidney dialysis --- Renal dialysis --- Dialysis --- Therapeutics --- Surgery --- Filtration
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When doctors first look at sutureless anastomosis devices created by new technologies, the most frequent comment is how amazingly easy it is to create a vascular anastomosis and, as a direct consequence, they believe anybody could play the role of the cardiovascular surgeon. Pessimistic c- diovascular surgeons, on their side, think that creating a machine capable of perfectly reproducing their core activity, which consists in making an- tomosis, will kill their profession. Actually, no medical specialty’s demise has been more often predicted and, at the same time, more greatly ex- gerated than that of cardiovascular surgery. According to its detractors, - ginning in the late 1980s with the angioplasty boom, continuing in the mid-1990s with the introduction of bare metal stents, and then more - cently with the introduction of drug-eluting stents, cardiovascular surgery has been on life support for nearly 15 years. This specialty’s claimed collapse has generally been attributed to recent advantages in percutaneous procedures and devices that give the oppor- nity to non-surgeon doctors to accomplish the surgeon’s work. The reality is different. Data suggest that cardiac surgery continues to survive and has not suffered the precipitous decline that was predicted. From the economical standpoint, CABG is much more of a mature market and the size of the opportunity remains impressive and relatively stable, with around 1,500,000 procedures performed annually worldwide, at a total cost approaching 2. 5 billion US$.
Arteriovenous anastomosis. --- Arteriovenous shunts, Surgical. --- Medical instruments and apparatus. --- Apparatus, Medical --- Instruments, Medical --- Medical apparatus --- Medical devices --- Medical products --- Medicine --- Biomedical engineering --- Medical supplies --- Scientific apparatus and instruments --- Access, Vascular --- Angioaccess --- Shunts, Surgical arteriovenous --- Surgical arteriovenous shunts --- Vascular access --- Blood-vessels --- Anastomosis, Arteriovenous --- Arteriovenous shunts, Normal --- Fistula, Arteriovenous --- Microcirculation --- Apparatus --- Equipment and supplies --- Instruments --- Surgery --- Heart --- Vascular Surgery. --- Cardiac Surgery. --- Surgery. --- Vascular surgery --- Cardiac surgery --- Open-heart surgery --- Diseases --- Cardiac surgery. --- Vascular surgery.
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This is the first textbook entirely dedicated to the endovascular treatment of complications related to arteriovenous accesses for hemodialysis (native fistulas and prosthetic grafts). The book addresses the anatomy of upper limb arteries and veins as well as the clinical presentation of patients and the way to perform and read a fistulogram. Many details and illustrations are provided, clarifying the subtleties in catheterization and the dilation of stenoses. From a strategic point of view, it is explained for the first time that many stenoses must either be ignored or deliberately underdilated. Many images help understand the different stages of recovery from thrombosed accesses. The number of incident dialysis patients increases by 5 % every year, which means that this is a field of growing interest. There are several annual or bi-annual meetings held by numerous national or international societies (vascularaccesssociety.com, sfav.org, vasmad.org, dialysiscontroversies.org, asdin.org).
Arteries -- Diseases. --- Arteries. --- Hypertension. --- Hemodialysis --- Arteriovenous shunts, Surgical --- Blood-vessels --- Arteriovenous Malformations --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Vascular Fistula --- Diagnostic Imaging --- Pathological Conditions, Anatomical --- Catheters --- Anastomosis, Surgical --- Cardiovascular Surgical Procedures --- Renal Replacement Therapy --- Vascular Grafting --- Sorption Detoxification --- Embolism and Thrombosis --- Surgical Procedures, Minimally Invasive --- Investigative Techniques --- Diagnostic Techniques and Procedures --- Vascular Malformations --- Vascular Diseases --- Pathological Conditions, Signs and Symptoms --- Therapeutics --- Surgical Procedures, Operative --- Equipment and Supplies --- Fistula --- Diseases --- Cardiovascular Diseases --- Cardiovascular Abnormalities --- Congenital Abnormalities --- Congenital, Hereditary, and Neonatal Diseases and Abnormalities --- Radiography --- Radiography, Interventional --- Arteriovenous Fistula --- Thrombosis --- Renal Dialysis --- Arteriovenous Shunt, Surgical --- Diagnosis --- Methods --- Vascular Surgical Procedures --- Catheters, Indwelling --- Constriction, Pathologic --- Medicine --- Health & Biological Sciences --- Radiology, MRI, Ultrasonography & Medical Physics --- Urology & Nephrology --- Cutdown --- Interventional radiology. --- Radiology, Interventional --- Medicine. --- Radiology. --- Cardiology. --- Nephrology. --- Medicine & Public Health. --- Imaging / Radiology. --- Interventional Radiology. --- Medical radiology
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