nidНефрология и диализNephrology and Dialysis1680-44222618-9801Российское диализное обществоnid-1363Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESРоль врачей нефрологических и гемодиализных отделений в обеспечении постоянного сосудистого доступа для гемодиализаThe role of nephrologists and hemodialysis specialists in maintenance of permanent vascular access for hemodialysisБеляевА. Ю.BeliaevA. Y.noemail@neicon.ruКудрявцеваЕ. С.KudryavtsevaE. S.noemail@neicon.ruГородская клиническая больница № 52, г. МоскваRussian Federation20072306202593224227Copyright © Беляев А.Ю., Кудрявцева Е.С., 20252025Беляев А.Ю., Кудрявцева Е.С.Beliaev A.Y., Kudryavtseva E.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.nephro.ru/jour/article/view/1363

Последние достижения в области техники гемодиализа стимулировали дополнительный интерес к проблеме формирования постоянного сосудистого доступа для обеспечения заместительной почечной терапии. На сегодняшний день наибольший успех в этой области может быть достигнут при тесном взаимодействии специалистов нефрологического, гемодиализного и хирургического отделений. Раннее начало эксплуатации вновь сформированного постоянного сосудистого доступа нередко связано с увеличением частоты соответствующих осложнений. В данной статье приводится обзор причин нарушения функции артериовенозных фистул на этапе их созревания, профилактика которых позволит улучшить показатели выживаемости сосудистых доступов у пациентов на гемодиализе.

Recent developments in hemodialysis techniques have spurred new interest in the field of the permanent vascular access for HD. The program of creating and maintaining a reliable vascular access in hemodialysis patients is today seen as a multidisciplinary task that must include the collaboration of nephrologists, surgeons and hemodialysis specialists. Earlier cannulation of a newly placed permanent vascular access at the haemodialysis facility level may be associated with increased risk of vascular access failure. The aim of this article is to review different etiologies of impaired fistula maturation in order to improve the rate of fistula maturation and increase the number of dialysis patients with a functioning autogenous fistula.

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The authors declare that there are no conflicts of interest present.