Shuntligatur nach Nierentransplantation: Pro und Kontra
- Resource Type
- Review Paper
- Authors
- Gummerer, Maria; Tiefenthaler, Martin; Margreiter, Christian; Klocker, Josef; Wipper, Sabine
- Source
- Gefässchirurgie: Zeitschrift für vaskuläre und endovaskuläre Medizin. 26(7):530-535
- Subject
- Dialyseshunt
Shuntverschluss
Herzversagen
Nierentransplantation
Hämodialyse
Dialysis shunt
Shunt closure
Heart failure
Kidney transplantation
Hemodialysis
- Language
- German
- ISSN
- 0948-7034
1434-3932
Background: An arteriovenous fistula is the gold standard for vascular access in patients with end-stage renal disease necessitating dialysis. After a successful kidney transplantation the fistula is no longer needed. In this article we would like to discuss the cardiovascular benefits and potential problems of routine fistula ligation after kidney transplantation.Methods: A narrative literature search was performed in the literature database of MEDLINE, PubMed and the Cochrane Database of Systematic Reviews up to April 2021.Results and conclusion: Closure of arteriovenous fistulas in stable kidney transplant recipients reduces pulmonary artery pressure and reduces the risk of right heart failure and therefore achieves a lower cardiovascular risk; however, the decision should be made carefully and individually for each patient.