Why is it important for a patient to have a fistula or graft for dialysis access? скачать в хорошем качестве

Why is it important for a patient to have a fistula or graft for dialysis access?

Dr. Spinowitz Explains - In the past, the research regarding dialysis access has looked at what is more beneficial for a patient - to have a fistula or a graft, or a hemodialysis tunneled catheter. Historically, the belief was that those patients with dialysis catheters do a lot worse. If you take all patients starting with dialysis and you divide them up into those patients with a fistula or a graft, or a catheter on the other side, patients with catheters may experience increased infections and increased central venous stenosis resulting in swelling and other difficulties. The opinion throughout the years was that this was all related to the dialysis catheter itself. With a catheter, there is an increased risk of infection because it is a foreign object that is introduced into the internal jugular vein, with the tip of the catheter being at the entrance of the heart. The other side of the catheter exits through the skin and has an entrance that allows for bacteria from the skin or the outside world to enter into the central circulation. https://americanendovascular.com/why-...