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Ultraschall Med 2007; 28(5): 450-471
DOI: 10.1055/s-2007-963571
CME Fortbildung/Continuing Education

© Georg Thieme Verlag KG Stuttgart · New York

Duplexsonografie von Hämodialyseshunts

Duplex Sonography of Hemodialysis AccessC. Thalhammer1 , M. Aschwanden1 , D. Staub1 , M. Dickenmann2 , K. A. Jaeger1
  • 1Angiology, University Hospital, Basel
  • 2Transplantation Immology and Nephrology, University Hospital, Basel
Further Information

Publication History

received: 4.9.2007

accepted: 5.9.2007

Publication Date:
13 November 2007 (online)

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Key words

arteries - blood vessels - veins - shunts - ultrasound-color doppler

Kernaussagen

  • Vor jeder Shuntanlage sind eine klinisch-angiologische Untersuchung und eine FKDS durchzuführen.

  • Die präoperative FKDS erhöht die Rate funktionsfähiger Hämodialyseshunts.

  • Die Shuntreifung wird klinisch und mittels FKDS überwacht.

  • Wichtige Komplikationen im Verlauf, welche die FKDS diagnostizieren kann, sind der akute Shuntverschluss, arterielle und venöse Stenosierungen, Steal-Phänomene sowie echte und falsche Aneurysmata.

Key Statements

  • A clincial-angiological examination and a CCDS should be performed prior to placement of every access.

  • Preoperative CCDS increases the rate of functioning hemodialysis shunts.

  • Shunt maturation should be monitored clinically and by CCDS.

  • Important complications in the course that can be diagnosed by CCDS are acute shunt occlusion, development of arterial and venous stenoses, steal phenomena, as well as true and false aneurysms.

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Dr. Christoph Thalhammer

Angiology, University Hospital

Petersgraben 4

4031 Basel

Schweiz

Phone: ++ 41/61/2 65 51 52

Fax: ++ 41/61/2 65 53 56

Email: thalhammerc@uhbs.ch

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