Overview of chronic hemodialysis vascular access
- Matthew J Oliver, MD, MHS
Matthew J Oliver, MD, MHS
- Associate Professor of Medicine
- University of Toronto, Canada
- Karen Woo, MD
Karen Woo, MD
- Associate Professor
- UCLA Division of Vascular Surgery
- Section Editors
- Steve J Schwab, MD
Steve J Schwab, MD
- Editor-in-Chief — Nephrology
- Section Editor — Dialysis
- University of Tennessee Health Science Center
- John F Eidt, MD
John F Eidt, MD
- Section Editor — Vascular and Endovascular Surgery
- Professor of Surgery, Texas A&M Health Sciences Center - Dallas Campus
- Vice Chair of Vascular Surgical Services, Baylor Heart and Vascular Hospital at Dallas
- Joseph L Mills, Sr, MD
Joseph L Mills, Sr, MD
- Section Editor — Vascular and Endovascular Surgery
- Professor and Chief
- Division of Vascular Surgery and Endovascular Therapy
- Baylor College of Medicine
The goal of chronic vascular access is to provide repetitive access to the circulation with minimal complications. Arteriovenous (AV) access, preferably AV fistulas, should be used when possible to avoid the risks associated with central venous catheters.
The types, general characteristics and a comparison of the types of AV hemodialysis access will be reviewed here. The use of central catheters for acute and chronic hemodialysis are reviewed separately. (See "Central catheters for acute and chronic hemodialysis access".)
The management of failed AV access and other complications are discussed in separate topic reviews.
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- RECOMMENDED STRATEGY FOR CHRONIC HEMODIALYSIS VASCULAR ACCESS
- ARTERIOVENOUS HEMODIALYSIS ACCESS
- Arteriovenous fistulas
- Arteriovenous grafts
- COMPARISON OF AV FISTULAS AND AV GRAFTS
- Primary failure
- Time to first cannulation
- Other issues
- INFORMATION FOR PATIENTS
- SUMMARY AND RECOMMENDATIONS