Related Experiment Video
Updated: Jul 3, 2026
08:39
A Murine Model of Hemodialysis Access-Related Hand Dysfunction
Published on: May 31, 2022
[Vascular access for hemodialysis--own experiences]
Mirosław Dziekiewicz1, Przemysław Wierzbicki, Monika Prokopiuk-Wierzbicka
1Wojskowy Instytut Medyczny w Warszawie, CSK MON: Klinika Chirurgii Ogólnej, Naczyniowej i Onkologicznej. dziekiewicz@wp.pl
Summary
Creating optimal vascular access for hemodialysis remains challenging, particularly for elderly patients. Individualized surgical approaches are crucial for selecting the best procedures to ensure effective hemodialysis access.
Area of Science:
- Vascular Surgery
- Nephrology
- Renal Replacement Therapy
Context:
- Hemodialysis requires reliable vascular access.
- Chronic kidney disease affects a growing and aging population.
- Diabetic nephropathy is a significant comorbidity.
Purpose:
- To present experiences in creating and reconstructing vascular access for hemodialysis.
- To evaluate surgical procedures for vascular access in 91 patients undergoing renal replacement therapy.
- To highlight the importance of individualized surgical planning.
Summary:
- 167 surgical procedures were performed for vascular access creation/reconstruction in 91 patients.
- Procedures included arteriovenous fistula creation, revascularization, and fistula reconstruction.
- A modified Cimino-Brescia anastomosis showed positive hemodynamic effects.
Impact:
- Optimal vascular access is a significant challenge, especially in elderly patients.
- Individualized surgical selection is key to achieving optimal hemodialysis access.
- This study emphasizes tailored approaches for complex patient populations.
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