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Updated: Jul 5, 2026

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

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Published on: August 8, 2025

Vascular access management 1: an overview.

Margaret McCann¹, Hildur Einarsdóttir, Jean-Pierre Van Waeleghem

¹School of Nursing and Midwifery, Trinity College, Dublin, Ireland. mccannm1@tcd.ie

Journal of Renal Care

|May 24, 2008

Summary

This summary is machine-generated.

Vascular access for renal replacement therapy (RRT) is crucial for dialysis patients. Achieving successful outcomes requires careful planning, appropriate access type selection (fistula, graft, or catheter), and skilled nursing techniques for cannulation.

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Last Updated: Jul 5, 2026

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Computed Tomography (CT) Guided Implantation of a Totally Implantable Venous Access Port (TIVAP) through Subclavian Vein

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Published on: January 13, 2026

Area of Science:

Nephrology
Vascular Surgery

Background:

Vascular access is a critical and challenging aspect of renal replacement therapy (RRT).
The choice of vascular access significantly impacts treatment efficacy and patient outcomes.

Purpose of the Study:

To highlight the complexities of vascular access for RRT.
To outline the preferred order of vascular access modalities.
To emphasize the importance of planning and nursing expertise in vascular access management.

Main Methods:

Review of current practices and guidelines for vascular access in RRT.
Discussion of the roles of the multidisciplinary team in vascular access programs.

Main Results:

Arteriovenous fistula (AVF) is the preferred access, followed by arteriovenous graft (AVG) and central venous catheter (CVC).
Successful vascular access necessitates proactive planning for site preservation, creation, and maturation.
Effective cannulation relies on nephrology nurses' expertise in managing diverse access types and techniques.

Conclusions:

A well-structured vascular access program is essential for optimal RRT.
Nephrology nurses play a vital role in ensuring successful vascular access cannulation and patient care.