Zaporozhye Hospital of organ transplantation background: almost 50 years, the main principle of establishing a vascular access for dialysis is an arterial-venous connection or an arterial venous fistula (AVF) (1,2,3;). Such short-circuit between arterial hypertension and upper flat lying vein is a brilliant surgical decision, which enables the chronic blood wash. Nevertheless, an arterial-venous connection triggers a heart burden from (4,5,6,7,8;). They came together with Uramiebedingten developed in the pre dialysis time (9,10,11,12) complications such as anemia, hypertension, water electrolytes derailment to the formation a cardiac hypertrophy and subsequent heart failure. A closed vessel access for dialysis, which has no effect on the cardiovascular system, is still today an open question. Method: In the Center for transplantation and dialysis at the saporozhje regional hospital in the Ukraine was since 1997 in 48 patients (35 men and 13 women) with the Average age 35 1.7 years the demand for dialysis access, which causes no cardiac stress (“patents of development of:???????????”) UA 20650A 05.08.1997 and??? ????????? ????????? ??????? ??? ??????????? ? ????????? ? ????????? ???????? ?????????????” UA 38514A 15.05.2001),(7;) The causes of chronic kidney failure are etiologically different.
All patients had a bicarbonate dialysis 3 times 4-5 hours/week with the KT/V 1.0-1.2 and with the usual vascular access (AVF, dialysis catheter) for dialysis. General symptoms of congestive heart failure were: unstable haemodynamics, in particular during the washing of the kidney and therefore an elusive dry weight, shortness of breath, chest pain under load, as well as in peace, Development of cardiac hypertrophy, according to the results of the imaging procedures (ECG, echocardiography, Radiology). It is the implementation of an artery arterial Interponats (autologous vein), as linear shunt between the forearm arteries (Figure 1.). The v was saphena magna ex placed hydraulically dilatated thereby brought into the subcutaneous tunnel after reversion. “In the proximal area of the forearm, a connection with the A.