Novosti
Khirurgii

DOI: https://dx.doi.org/10.18484/2305-0047.2017.2.211   |  

E.L. KALMYKOV

AN OVERVIEW OF THE COLOGNE SYMPOSIUM ON ISSUE OF VASCULAR ACCESS FOR HEMODIALYSIS PATIENTS ("KöLNER DIALYSESHUNT SYMPOSIUM", JUNE, 24-25, 2016 YEAR)

Avicenna Tajik State Medical University,
Dushanbe,
The Republic of Tajikistan

In Cologne (Germany), on the 24-25^th of June, 2016 the Fifth symposium dedicated to the issue of a permanent vascular access in patients with chronic kidney disease (CKD) undergoing hemodialysis was held. Vascular surgeons, interventional radiologists, nephrologists, nurses from different cities of Germany as well as from the United States, the Netherlands and Tajikistan took part in the symposium. Two master classes on the upper limb vascular surgical anatomy and practical surgery of forming different types of A-V shunts in the upper limb were carried out during the symposium. The different types of arteriovenous fistulas and their immediate and long-term results were presented and discussed from the current point of view; new data on the results of using cutting baloons and the drug-coated baloons in the surgery of stenotic changes of A-V shunts were demonstrated at the symposium. At the symposium a special attention was given to the use of new systems in patients in whom almost all ways of using veins have been exhausted. The newest trend in the surgery of access for hemodialysis in “difficult” patients is the application of the device Surfacer. The results of the implanted graft – Hemodialysis Reliable Outflow graft (HeRO) were represented too. The article also provides the overview dedicated to necessity of the blood flow monitoring prior, within and after the endovascular interventions in treating the patients with A-V shunts stenosis; the formation of the A-V shunt by means of endovascular techniques, the application of Nitinol stent-like-devices VasQ to improve the maturation and patency of A-V anastomosis. A number of reports were devoted to the issue of the dilation of arteries after the formation of A-V shunt and aneurysms.

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