Seminars in Vascular Surgery ( IF 2.5 ) Pub Date : 2023-04-29 , DOI: 10.1053/j.semvascsurg.2023.04.008 Marco Franchin 1 , Marco Tadiello 2 , Luca Guzzetti 3 , Andrea Gattuso 2 , Francesca Mauri 1 , Maria Cristina Cervarolo 1 , Mario Giovanni Gerardo D'Oria 4 , Matteo Tozzi 1
Hemodynamic complications frequently affect vascular access and are important causes of morbidity and mortality. We present a review of acute complications affecting vascular accesses, focusing on classical and new treatments. Acute complications in hemodialysis vascular access are often underestimated and undertreated, and can present a challenge for both vascular surgeons and anesthesiologists. Accordingly, we considered different anesthesiologic approaches to both hemorrhagic and nonhemorrhagic patients. A strict collaboration among nephrologists, surgeons, and anesthesiologists can potentially improve prevention and management of acute complications and quality of life.
中文翻译:
血液透析通路的急性问题:血栓形成、动脉瘤、有症状的高流量瘘管和与中心导管相关的并发症
血流动力学并发症经常影响血管通路,是发病率和死亡率的重要原因。我们对影响血管通路的急性并发症进行了综述,重点关注经典疗法和新疗法。血液透析血管通路的急性并发症往往被低估和治疗不足,这对血管外科医生和麻醉师来说都是一个挑战。因此,我们考虑了对出血性和非出血性患者采用不同的麻醉方法。肾病学家、外科医生和麻醉师之间的严格合作可能会改善急性并发症的预防和管理以及生活质量。