Больница Policlinico San Donato, аккредитованная IRCCS, предлагает услуги диализа по цене около €520 за сеанс, включая саму процедуру, поддержку эритропоэза и антикоагуляцию. Клиника входит в число лучших больниц мира и имеет рейтинг пациентов 4,8/5. Доктор Мария Дория специализируется на диализной терапии и ведении хронической болезни почек, составляя индивидуальные планы лечения. Стоимость первичной консультации перед началом сеансов составляет €208.
","text_type":"mt_wow_description","best_texts":{"techniques":"Диализ, методы постоянной заместительной почечной терапии (CRRT), установка туннельных центральных венозных катетеров, формирование дистальных артериовенозных фистул","good_fit_for":"Сложные случаи почечной недостаточности","why_its_ranked":"Клиника проводит более 11 000 сеансов диализа в год. Предлагает непрерывный диализ при острой почечной недостаточности. Специализируется на консервативной терапии и преддиализной подготовке."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":580,"price_to":580,"currency":"USD","id":62893},"operation":{"id":848,"name":"Диализ","alias":"dializ"}},{"prices":{"price_from":490,"price_to":490,"currency":"USD","id":64199},"diagnostic":{"id":48,"name":"Консультация уролога","alias":"konsultaciya-urologa"}}],"reviews":[],"clinic":{"id":298,"alias":"klinika-san-donato-policlinico-san-donato","name":"Клиника Сан-Донато (Policlinico San Donato)","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/298-6ab44dd379f2e.png","short_description":"Клиника Сан-Донато (Policlinico San Donato) — крупнейший центр лечения сердечно-сосудистых заболеваний в Италии.
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\n\nСпециализация клиники — кардиология, кардиохирургия, аритмология, кардиореабилитация, общая хирургия.
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\n\nПо данным клиники, здесь разработана первая в мире генная терапия стволовыми клетками для пациентов с тяжелым комбинированным иммунодефицитом (ADA-SCID).
\n\nСан-Рафаэль специализируется на онкологии, онкогематологии, нейрохирургии, кардиохирургии, гинекологии.
\n\nЕжегодно врачи медицинского центра проводят более 50 000 операций.
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","text_type":"mt_wow_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":302,"alias":"ortopedicheskij-institut-galeacci-instituto-ortopedico-galeazzi","name":"Ортопедический институт Галеацци (IRCCS OSPEDALE GALEAZZI - SANT'AMBROGIO)","short_description":"Ортопедический институт Галеацци (Ospedale Galeazzi - Sant'Ambrogio (OGSA)) — новая больница, объединяющая два известных учреждения: Istituto Ortopedico Galeazzi и Istituto Clinico Sant'Ambrogio. Istituto Ortopedico Galeazzi — первая в Италии ортопедическая больница, выполняющая 75% всех ревизионных ортопедических операций в стране. Тем временем Istituto Clinico Sant'Ambrogio заслужил признание благодаря своему сердечно-сосудистому отделению и опыту в диагностике и лечении ожирения. Расположенный в одном учреждении, OGSA предлагает комплексные медицинские услуги для широкого спектра медицинских потребностей.
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Д-р Мария Дориа руководит отделением нефрологии и диализа в больнице Сан-Донато в Милане. Она возглавляет подразделение, в котором ежегодно проводится около 11 000 процедур диализа. Д-р Дориа специализируется на клинической нефрологии с акцентом на консервативную терапию и преддиализное лечение. Она работает в медицинском учреждении, которое входит в список лучших больниц мира по версии Newsweek.
Клиника Сан-Донато (Policlinico San Donato) — крупнейший центр лечения сердечно-сосудистых заболеваний в Италии.
\n\nСан-Донато является лидером по количеству кардиохирургических операций и процедур интервенционной кардиологии у взрослых и детей. Ежегодно врачи выполняют более 2 000 операций на сердце и сосудах, 6 000 процедур гемодинамики и 1 400 процедур радиочастотной абляции.
\n\nСпециализация клиники — кардиология, кардиохирургия, аритмология, кардиореабилитация, общая хирургия.
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Клиника Сан-Донато (Policlinico San Donato) — крупнейший центр лечения сердечно-сосудистых заболеваний в Италии.
\n\nСан-Донато является лидером по количеству кардиохирургических операций и процедур интервенционной кардиологии у взрослых и детей. Ежегодно врачи выполняют более 2 000 операций на сердце и сосудах, 6 000 процедур гемодинамики и 1 400 процедур радиочастотной абляции.
\n\nСпециализация клиники — кардиология, кардиохирургия, аритмология, кардиореабилитация, общая хирургия.
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Клиника Сан-Донато (Policlinico San Donato) — крупнейший центр лечения сердечно-сосудистых заболеваний в Италии.
\n\nСан-Донато является лидером по количеству кардиохирургических операций и процедур интервенционной кардиологии у взрослых и детей. Ежегодно врачи выполняют более 2 000 операций на сердце и сосудах, 6 000 процедур гемодинамики и 1 400 процедур радиочастотной абляции.
\n\nСпециализация клиники — кардиология, кардиохирургия, аритмология, кардиореабилитация, общая хирургия.
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День 2: Подготовка к операции
День 3: Диализ
День 4: После операции
День 5: Отъезд
Обратите внимание, что случай каждого пациента уникален, и этот график может варьироваться в зависимости от индивидуальных потребностей и обстоятельств.
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It continues unless transplant, kidney recovery or a change in care goals occurs.","revision_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Vascular access needing intervention or replacement (stenosis, thrombosis) within first year; fistulas lower than grafts or catheters."},"scars":"Dialysis itself leaves no scar. Fistula or graft surgery leaves a small arm scar; tunneled catheters leave small neck or chest scars; needle marks may show over the fistula.","sessions_or_stages":{"sessions":{"min":12,"max":13,"unit":"visits","qualifier":"First four weeks at about 3 sessions per week."},"stages":[{"code":"initiation","label":"Initiation: first sessions, often shorter or gentler; provisional dry weight","after":{"min":0,"max":7,"unit":"days","qualifier":"From the first session"}},{"code":"stabilization","label":"Stabilization: adjust dry weight, session length, dialysate and therapies; first adequacy check","after":{"min":14,"max":84,"unit":"days","qualifier":"From the first session"}},{"code":"maintenance","label":"Ongoing maintenance: usually 3 sessions weekly of 3-5 hours, with regular monitoring","after":{"min":28,"max":90,"unit":"days","qualifier":"From the first session; no fixed end"}}],"qualifier":"Open-ended maintenance with no cure; session counts cover only the first weeks."},"success":{"metric":"All-cause survival of adults starting maintenance in-center hemodialysis","value":40,"unit":"percent","horizon":"5 years after starting dialysis","population":"Incident adults with kidney failure on maintenance dialysis; varies widely with age and comorbidity.","evidence_status":"limited"},"techniques":[{"name":"In-center hemodialysis","suits_whom":"Most medically stable adults with kidney failure and established access; typically 3 sessions weekly of 3-5 hours","recovery":"Tiredness for some hours after sessions; usual activities between sessions"},{"name":"Home hemodialysis","suits_whom":"Trained patients with a suitable home setup and a care partner if needed","recovery":"Shorter, more frequent sessions are possible; recovery is often quicker"},{"name":"Peritoneal dialysis","suits_whom":"Patients preferring home therapy with an intact peritoneal cavity","recovery":"Daily exchanges at home; no post-session recovery period"}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":3,"max":5,"unit":"hours","qualifier":"Per single maintenance in-center hemodialysis session, excluding travel and setup."},"initial_assessment_documents":["Latest nephrology report with kidney diagnosis","Current dialysis prescription and recent session records","Recent creatinine, potassium and hemoglobin results","Hepatitis B, hepatitis C and HIV results","Dialysis access type and placement report"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"One trip covers the first four weeks of sessions; later care continues at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask whether a fistula or graft can be used instead of a central line catheter","scope":"procedure","source":{"url":"https://www.cdc.gov/dialysis/patient/","host":"cdc.gov","quote":"Ask staff if you can use a fistula or graft for treatment if you have a central line catheter.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C2","text":"Check that all staff clean their hands before and after caring for you or your access","scope":"procedure","source":{"url":"https://www.cdc.gov/dialysis/patient/","host":"cdc.gov","quote":"Make sure all staff clean their hands before and after caring for you or your access.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C3","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check that the treating doctor speaks a language you understand well","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Make sure your surgeon speaks English or another language you speak well enough.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check that you have a named doctor's contact for complications, not just a helpline","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Make sure you have the contact details of a named doctor who can deal with any complications rather than a helpline.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C6","text":"Check how your aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Cannot feel the vibration over the access","urgency":"contact_clinic","general":false,"source":{"url":"https://www.niddk.nih.gov/health-information/kidney-disease/kidney-failure/hemodialysis","host":"niddk.nih.gov","quote":"Let your dialysis center know if you can’t feel the vibration.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Warmth or redness at the access site","urgency":"contact_clinic","general":false,"source":{"url":"https://www.niddk.nih.gov/health-information/kidney-disease/kidney-failure/hemodialysis","host":"niddk.nih.gov","quote":"Check the area for signs of infection, such as warmth or redness.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Redness, pus, or swelling at catheter exit site","urgency":"contact_clinic","general":false,"source":{"url":"https://www.niddk.nih.gov/health-information/kidney-disease/kidney-failure/peritoneal-dialysis","host":"niddk.nih.gov","quote":"Signs of an exit site infection include redness, pus, swelling or bulging, and tenderness or pain at the exit site.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home clinicians need documentation of care received abroad for subsequent care","document":"care documentation","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/what-to-do-when-sick-abroad.html","host":"cdc.gov","quote":"Request documentation of any medical care received abroad, including medications, and share with healthcare professionals delivering subsequent care while traveling and at home.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge 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