Hemodialysis access

Surg Clin North Am. 2013 Aug;93(4):997-1012, x. doi: 10.1016/j.suc.2013.05.002. Epub 2013 Jun 21.

Abstract

The number of patients requiring dialysis is increasing, in particular those patients over the age of 75. The arteriovenous fistula is the preferred access for hemodialysis due to fewer complications and decreased mortality. Access complications are common and require early recognition and treatment. Postoperative access surveillance is important to ensure timely diagnosis and treatment of access-related complications. There is a continued need for high-quality data to assist in determining the best access for each patient.

Keywords: Arteriovenous fistula; Complications; DOQI; Hemodialysis.

Publication types

  • Review

MeSH terms

  • Arm / blood supply
  • Constriction, Pathologic / etiology
  • Constriction, Pathologic / therapy
  • Diagnosis, Differential
  • Forearm / blood supply
  • Humans
  • Kidney Failure, Chronic / therapy
  • Medical History Taking
  • Patient Selection
  • Physical Examination
  • Postoperative Care / methods
  • Postoperative Complications / diagnosis
  • Postoperative Complications / etiology
  • Postoperative Complications / therapy
  • Renal Dialysis / methods*
  • Treatment Outcome
  • Ultrasonography, Doppler, Duplex
  • Vascular Access Devices*