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Vascular Access For Hemodialysis Therapy

  • Chapter
Modelling and Control of Dialysis Systems

Part of the book series: Studies in Computational Intelligence ((SCI,volume 404))

Abstract

Therapeutic options for patients suffering from end-stage renal disease have improved tremendously over the last decades and can be divided into three categories: hemodialysis, peritoneal dialysis and kidney transplantation. Transplantation remains the treatment of choice, however, lack of donor organs results in the necessity of performing-temporary dialysis therapies of which hemodialysis is carried out in the majority of patients.

To facilitate adequate hemodialysis therapy a reliable vascular access is mandatory and can be provided by either surgically connecting an artery with a vein (arteriovenous fistula), surgically connecting an artery with a vein using an interposition of prosthetic graft material (arteriovenous graft) or a central venous catheter. This chapter shortly reviews the condition of end-stage renal disease after which history of vascular access, different options to create a vascular access, pre-operative workup, surgical procedure, monitoring and usage, post-operative complications and the role of hemodynamics will be discussed. Finally, some future directions for vascular access creation and management will be identified.

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    A. S. Bode & J. H. M. Tordoir

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Bode, A.S., Tordoir, J.H.M. (2013). Vascular Access For Hemodialysis Therapy. In: Azar, A. (eds) Modelling and Control of Dialysis Systems. Studies in Computational Intelligence, vol 404. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-27458-9_5

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