Clinic of Nephrology

We are part of the Center for Vascular Access for Extracorporeal Purification Methods, which brings together our clinic, the 3rd Department of Internal Medicine - Cardiology, the 2nd Surgical Clinic - Cardiosurgery and the Radiology Clinic Our department indicates patients with renal failure to establish vascular access, provide hemodialysis and inpatient facilities for patients from all dialysis centers in the Czech Republic where vascular access or performance is required. Hospitalization of a patient for whom a radiological or surgical procedure is to be performed on vascular access can be provided by agreement with the senior physician of the ward E.

The Center for Immunonephrology of the First Faculty of Medicine and the General Teaching Hospital deals with kidney immune disorders and other immunopathological conditions, especially primary and secondary glomerulonephritis and vasculitis, such as:

• ANCA associated vasculitis (microscopic polyangitis, granulomatosis with polyangitis - Wegener's granulomatosis, eosinophilic granulomatosis with polyangitis - Churg and Strauss syndrome)
• Immunocomplex vasculitis (cryoglobulinemic vasculitis, IgA vasculitis = Henoch-Schönlein purpura, leukocytoclastic vasculitis)
• vasculitis with CNS involvement
• giant cell arteritis, Takayashu's arteritis,
• Behcet's disease,
• panarteritis nodosa
• secondary vasculitis, eg in hepatitis.

We provide patients with these diseases with comprehensive care in both acute and chronic disease, both in hospital and outpatient. Backgrounds are available continuously for the most demanding conditions (state-of-the-art treatments, including plasmapheresis, immediate availability of specialized laboratory methods, possibility to perform renal biopsy on the same day, all hemoelination methods). Other cooperating experts from the General Teaching Hospital and other facilities (eg: Department of Otorhinolaryngology, Clinic of Radiology, Ophthalmology Clinic, Department of Neurology, Department of Tuberculosis and Respiratory Diseases, Institute of Rheumatology, Institute of Rheumatology) participate in the care of patients with these diseases. clinical and experimental medicine and others).

We care for both patients from the Czech Republic (Czech insured) and self-paying. If the patient is not insured with a Czech health insurance company, it is advisable to arrange in advance a method of paying the care with the center management. 

Non-stop contact (for our patients and their attending physicians in case of deterioration, necessity of consultation or hospitalization, eventually in case of newly diagnosed kidney disease).

We provide not only acute and chronic dialysis care 24 hours a day, but also continuous purification methods (at the Department of Acute Medicine) and plasma apheresis. Mainly we care about patients with acute and chronic renal failure, as well as patients with various autoimmune diseases (autoimmune anemia, myasthenia gravis, demyelinating disease and others). In cooperation with the Department of Acute Medicine (OAM), we provide temporary vascular access (dialysis cannulas and tunneled catheters). We are involved in the care of patients, where the establishment of permanent vascular access is indicated. After the agreement it is possible to undergo recreational dialysis in our country. As one of the few dialysis centers we offer dialysis on Sunday. Taking the dialysis program, recreational dialysis and more can be arranged with the head physician of the hemodialysis center. 

We care for the patient in the peritoneal dialysis program. In cooperation with the 1st Department of Surgery of the General Hospital, we provide implantation of catheters for peritoneal dialysis under hospitalization. We hospitalize patients who start peritoneal dialysis and patients with complications of this method. We care for patients from all cooperating dialysis centers in the Czech Republic. The above-mentioned service can be arranged by agreement with the chief physician of the peritoneal dialysis program. For more information on the specialized activities we are dealing with, please see p patient information.