Local Hemodynamics of the Vascular Access for Hemodialysis

被引:15
作者
Malik, J. [1 ]
Tuka, V. [1 ]
Tesar, V. [2 ]
机构
[1] Charles Univ Prague, Gen Univ Hosp, Sch Med 1, Dept Internal Med 3, CZ-12808 Prague, Czech Republic
[2] Charles Univ Prague, Gen Univ Hosp, Sch Med 1, Dept Nephrol, CZ-12808 Prague, Czech Republic
关键词
Vascular access; Hemodialysis; Wall shear stress; WALL SHEAR-STRESS; STAGE RENAL-DISEASE; ARTERIOVENOUS-FISTULA; RISK-FACTORS; ENDOTHELIAL DYSFUNCTION; ADAPTIVE REGULATION; NATIVE FISTULAS; CARDIAC-OUTPUT; VENOUS NEEDLE; RADIAL ARTERY;
D O I
10.1159/000205522
中图分类号
Q4 [生理学];
学科分类号
071003 ;
摘要
Vascular access is called Achilles' heel of hemodialysis because it is associated with a substantial morbidity. A permanent vascular access is created either by a direct connection of the patient's own artery and vein or by the interposition of a graft. Arteriolar beds are bypassed, which leads to a substantial increase in arterial (and venous) flow and the vessels adapt to it by a complex of interesting processes. These are reviewed together with some pathophysiological mechanisms of access complications. Copyright (C) 2009 S. Karger AG, Basel
引用
收藏
页码:59 / 66
页数:8
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