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The importance of success prediction in angioaccess surgery

Fila, Branko; Magaš, Saša; Pavić, Predrag; Ivanac, Renata; Ajduk, Marko; Malovrh, Marko
The importance of success prediction in angioaccess surgery // International Urology and Nephrology, 48 (2016), 9; 1469-1475 doi:10.1007/s11255-016-1318-8 (recenziran, pregledni rad, stručni)

The importance of success prediction in angioaccess surgery

Fila, Branko ; Magaš, Saša ; Pavić, Predrag ; Ivanac, Renata ; Ajduk, Marko ; Malovrh, Marko

International Urology and Nephrology (0301-1623) 48 (2016), 9; 1469-1475

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, pregledni rad, stručni

Ključne riječi
Hemodialysis ; success prediction ; vascular access

Access to the circulation is an "Achilles' heel" of chronic hemodialysis. According to the current guidelines, autologous arteriovenous fistula is the best choice available. However, the impossibility of immediate use and the high rate of non-matured fistulas place fistula far from an ideal hemodialysis vascular access. The first attempt at constructing an angioaccess should result in functional access as much as possible. After failed attempts, patients and nephrologists lose their patience and confidence, which results in high percentage of central venous catheter use. Predictive models could help, but clinical judgment still remains crucial. Early referral to the nephrologist and vascular access surgeon, careful preoperative examinations, preparation of patients and duplex sonography mapping of the vessels are very important in the preoperative stage. In the operative stage, it is crucial to understand that angioaccess procedures should not be considered as minor procedures and these operations must be performed by surgeons with demonstrable interest and experience. In the postoperative stage, appropriate surveillance of the maturation process is also important, as well as good cannulation skills of the dialysis staff. The purpose of this review article is to stress the importance of success prediction in order to avoid unsuccessful attempts in angioaccess surgery.

Izvorni jezik

Znanstvena područja
Kliničke medicinske znanosti


Klinička bolnica "Merkur",
Klinika za dijabetes, endokrinologiju i bolesti metabolizma Vuk Vrhovac,
Klinička bolnica "Dubrava"

Časopis indeksira:

  • Current Contents Connect (CCC)
  • Web of Science Core Collection (WoSCC)
    • Science Citation Index Expanded (SCI-EXP)
    • SCI-EXP, SSCI i/ili A&HCI
  • Scopus