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Related Concept Videos

Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

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Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
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Anastomoses01:19

Anastomoses

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In human anatomy, anastomosis refers to a connection or opening between two things, particularly between blood vessels or other tubular structures. The term is derived from the Greek term 'anastomosis,' which means 'outlet' or 'opening.' This natural network of connections plays a critical role in the survival and functionality of the human body.
Anastomoses can be formed at arterial, venous, and lymphatic vessels.
Arterial Anastomosis: These occur between arteries. They...
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Veins of Head and Neck01:19

Veins of Head and Neck

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The blood drainage from the head and neck is primarily managed by three pairs of veins: the external jugular, internal jugular, and vertebral veins. The external jugular veins drain superficial scalp and face structures, passing over the sternocleidomastoid muscles to empty into the subclavian veins.
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...
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Related Experiment Video

Updated: Apr 24, 2026

Wireless Telemetry Device Implantation in a Fontan Ovine Model for Continuous and Long-Term Hemodynamic Monitoring
06:29

Wireless Telemetry Device Implantation in a Fontan Ovine Model for Continuous and Long-Term Hemodynamic Monitoring

Published on: May 2, 2025

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Vascular access: a never-ending story.

U Hedin1

  • 1Department of Vascular Surgery Karolinska University Hospital and the Karolinska InstituteStockholm, Sweden - ulf.hedin@ ki.se.

The Journal of Cardiovascular Surgery
|September 13, 2014
PubMed
Summary

Vascular surgeons manage hemodialysis access, facing challenges with new endovascular technologies offering solutions. Guidelines and advanced tools improve patient care and surgeon experience.

Area of Science:

  • Vascular Surgery
  • Nephrology
  • Interventional Radiology

Background:

  • Vascular surgeons play a crucial role in creating and maintaining hemodialysis access.
  • Managing dialysis access requires multidisciplinary collaboration with nephrologists and dialysis staff.
  • Complex clinical decisions and arduous surgeries present ongoing challenges for access surgeons.

Purpose of the Study:

  • To present fundamental principles of dialysis access care.
  • To highlight novel solutions for common clinical problems in dialysis access.
  • To discuss the impact of guidelines and endovascular technology on access surgery.

Main Methods:

  • Review of current practices in dialysis access creation and maintenance.
  • Discussion of endovascular techniques and technologies.

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  • Integration of national and international guidelines into clinical decision-making.

    • Main Results:

    • Endovascular technology offers feasible solutions to previously troublesome clinical problems.
    • Improved understanding and application of guidelines enhance access surgery outcomes.
    • Multidisciplinary approach optimizes dialysis access service functionality.

    Conclusions:

    • Endovascular advancements are making access surgery more manageable and effective.
    • Adherence to guidelines and embracing new technologies improve the experience for access surgeons.
    • A collaborative, multidisciplinary approach is key to successful hemodialysis access care.