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Hemodialysis Access Dysfunction

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Pan Vascular Medicine

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Abstract

Malfunction of hemodialysis access is frequent. Despite refinement of dialysis techniques, prognosis of shunt function is still limited. No more than 15% of shunts function well in the long run [1] and even primary patency rates of noncomplicated hemodialysis fistulae leave much to be desired. Keller et al. found a 1-year primary patency of 65% for Brescia-Cimino arteriovenous (AV) fistulae and 50% for grafts [2]. For Brescia-Cimino shunts, primary patency after 2 years and 4 years was 60% and 45%, respectively; for graft shunts it was even lower with rates of 43% and 10%, respectively [2].

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Authors
  1. Dierk Vorwerk
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Editors and Affiliations

  1. Herz-Zentrum Coswig, Klinik für Kardiologie und Angiologie, Lerchenfeld 1, 06869, Coswig (Anhalt), Germany

    Peter Lanzer MD

  2. The Cleveland Clinic Foundation, One Clinic Center, 9500 Euclid Avenue, Cleveland, 44195, OH, USA

    Eric J. Topol MD

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© 2002 Springer-Verlag Berlin Heidelberg

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Vorwerk, D. (2002). Hemodialysis Access Dysfunction. In: Lanzer, P., Topol, E.J. (eds) Pan Vascular Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56225-9_90

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  • DOI: https://doi.org/10.1007/978-3-642-56225-9_90

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-62565-7

  • Online ISBN: 978-3-642-56225-9

  • eBook Packages: Springer Book Archive

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