Das arterioarterielle Interponat als Dialysezugang

Arterioarterial prosthetic loop: A new approach for hemodialysis access

“…As a result of these promising initial results, 29 we performed 36 AAPL in 34 patients over an 8-year period.…”

Axillary-axillary interarterial chest loop conduit as an alternative for chronic hemodialysis access

“…A new approach for dialysis access is an AA conduit, for which problems of venous outflow obstruction do not exist. Few data have been published about this treatment option, [5][6][7] mainly as a subcutaneous loop positioned on the thigh. To our knowledge, the chest position for inserting an IA loop has not yet been described.…”

“…4 An alternative procedure for permanent dialysis access is an arterioarterial loop access positioned on the chest. Experiences with interarterial (IA) approaches for dialysis are limited, [5][6][7] and, to our knowledge, none has been published about the axillary location. We report the short-term results after insertion of 20 axillary-axillary (AA) IA conduits regarding patency and complications.…”

Grafts and Graft Materials as Vascular Substitutes for Haemodialysis Access Construction

“…Moreover, when large vessels, such as the axillary artery and femoral veins, are employed severe venous or arterial problems may follow AVG thrombosis. 61 Central vein occlusion, ischaemic steal syndrome and cardiac failure may be indications for creating arterio-arterial vascular access grafts run superficially in the lower limb, 62 or on the chest wall. 63 More heroic access configurations, such as anastomosis to the right atrial appendage through a median sternotomy 64 and to the renal vein 65 to bypass central venous obstruction should be avoided if possible in favour of a permanent central venous catheter.…”