Haemodialysis access: the case for prospective monitoring

Thrombosis in haemodialysis accesses remains a major problem. It is associated with stenosis that causes haemodynamic and anatomical changes. By prospective monitoring it is possible to identify patients at risk of thrombosis. Those patients should be referred for corrective intervention. This approach can result in a thrombosis rate below the advised quality of care standard of 0.5 thromboses/patient-year.