Novosti
Khirurgii
This journal is
indexed in Scopus









Year 2017 Vol. 25 No 1

CASE REPORTS

DOI: https://dx.doi.org/10.18484/2305-0047.2017.1.87   |  

R.E. KALININ, I.A. SUCHKOV, A.A. EGOROV, O.V. MEDVEDEVA

EXAMPLES OF NON-STANDARD RECONSTRUCTIONS IN HEMODIALYSIS PATIENTS WITH PERMANENT VASCULAR ACCESS

SBEE HPE "Ryazan State Medical University Named After Academician I.P.Pavlov",
Ryazan,
The Russian Federation

A program hemodialysis is a leading treatment method for patients with terminal stage of a chronic kidney disease. A permednt vascular access is required for an adequate hemodialysis. There are many hemodialysis options available with both autologous and synthetic materials used for a vascular access. There is no perfect vascular access, thus such complications as thrombosis in the area of reconstruction has developed. Different types of reconstructive procedures are sometimes used to restore the function of permanent vascular access. This article presents non-standard reconstructive procedures in hemodialysis patients with permanent vascular access. Five clinical cases of rendering medical aid to patients with pathological tortuosity of the brachial artery, with a false arteriovenous fistula aneurysm of the proximal anastomosis, with dialysis recycling syndrome are described in details. On the basis of the reviewed data it is possible to state that the vascular access surgery can be interesting and creative, not conventional. Physician activities should be aimed at increasing of operating time of available permanent vascular access and if possible to use the patients own tissues for this purpose.

Keywords: chronic kidney disease, autologous and synthetic materials, arteriovenous fistula, permanent vascular access, reconstructive procedures, aneurysm of the proximal, hemodialysis
p. 87-92 of the original issue
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Address for correspondence:
390026, the Russian Federation,
Ryazan, Vyisokovoltnaya, 9 str.,
"Ryazan State Medical University named after Academician I.P.Pavlov".
Tel.: 7 491 246-08-03
e-mail: Suchkov_med@mail.ru
Igor A. Suchkov
Information about the authors:
Kalinin R.E. MD, Professor, Rector of SBEE HPE "Ryazan State Medical University Named After Academician I.P.Pavlov" of the Ministry of Health of Russia, Head of cardiovascular, X-ray-endovascular, operative surgery and topographic anatomy department.
Suchkov I.A. MD, Ass. Professor, Professor of cardiovascular, X-ray-endovascular, operative surgery and topographic anatomy departtment.
Egorov A.A. PhD, Applicant for Doctors degree of cardiovascular, X-ray-endovascular, operative surgery and topographic anatomy department.
Medvedeva O.V. MD, Ass. Professor, Head of departmentr of public health and health care, the organization of nursing with the course of social hygiene and public health organization of advanced professional training faculty.
Contacts | ©Vitebsk State Medical University, 2007