Spanish Clinical Guidelines on Vascular Access for Haemodialysis

Nefrologia. 2017 Nov;37 Suppl 1:1-191. doi: 10.1016/j.nefro.2017.11.004.
[Article in English, Spanish]


Vascular access for haemodialysis is key in renal patients both due to its associated morbidity and mortality and due to its impact on quality of life. The process, from the creation and maintenance of vascular access to the treatment of its complications, represents a challenge when it comes to decision-making, due to the complexity of the existing disease and the diversity of the specialities involved. With a view to finding a common approach, the Spanish Multidisciplinary Group on Vascular Access (GEMAV), which includes experts from the five scientific societies involved (nephrology [S.E.N.], vascular surgery [SEACV], vascular and interventional radiology [SERAM-SERVEI], infectious diseases [SEIMC] and nephrology nursing [SEDEN]), along with the methodological support of the Cochrane Center, has updated the Guidelines on Vascular Access for Haemodialysis, published in 2005. These guidelines maintain a similar structure, in that they review the evidence without compromising the educational aspects. However, on one hand, they provide an update to methodology development following the guidelines of the GRADE system in order to translate this systematic review of evidence into recommendations that facilitate decision-making in routine clinical practice, and, on the other hand, the guidelines establish quality indicators which make it possible to monitor the quality of healthcare.

Keywords: Acceso vascular; Angioplastia; Angioplasty; Arteriovenous fistula; Catéter venoso central; Central venous catheter; Clinical Practice Guidelines; Complicaciones; Complications; Fístula arteriovenosa; GEMAV; GRADE; Guía de práctica clínica; Haemodialysis; Hemodiálisis; Indicadores de calidad; Monitoring; Monitorización; Quality indicators; Tratamiento; Treatment; Vascular access.

Publication types

  • Practice Guideline

MeSH terms

  • Aneurysm / etiology
  • Aneurysm / surgery
  • Angioplasty / methods
  • Antibiotic Prophylaxis / standards
  • Arteriovenous Shunt, Surgical / adverse effects
  • Arteriovenous Shunt, Surgical / instrumentation
  • Arteriovenous Shunt, Surgical / standards*
  • Catheterization, Peripheral / adverse effects
  • Catheterization, Peripheral / methods
  • Catheterization, Peripheral / standards
  • Clinical Decision-Making
  • Constriction, Pathologic
  • Equipment Failure
  • Evidence-Based Medicine
  • Humans
  • Infection Control
  • Needles
  • Physical Examination
  • Renal Dialysis / methods*
  • Rheology
  • Spain
  • Thrombosis / etiology
  • Thrombosis / prevention & control
  • Thrombosis / therapy
  • Vascular Access Devices / adverse effects
  • Vascular Access Devices / standards*