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[Permanent vascular access for haemodialysis]

E N Manafov, V A Batrashov, O G Sergeev

    Angiologiia I Sosudistaia Khirurgiia = Angiology and Vascular Surgery
    |October 10, 2015
    PubMed

    Insights

    Successful chronic haemodialysis relies on permanent vascular access (PVA). Improving PVA creation and monitoring reduces complications, enhancing patient quality of life.

    Area of Science:

    • Vascular Surgery
    • Nephrology
    • Dialysis Medicine

    Context:

    • Permanent vascular access (PVA) is crucial for successful chronic haemodialysis (CD).
    • Vascular and endovascular surgeons, nephrologists, and dialysis specialists prioritize PVA creation and maintenance.
    • KDOQI guidelines recommend native arteriovenous fistula (AVF) as the preferred PVA, with synthetic arteriovenous shunt (AVS) or central venous catheter (CVC) as alternatives.

    Purpose:

    • To highlight the importance of permanent vascular access (PVA) in chronic haemodialysis (CD).
    • To discuss the preferred types of PVA, including native arteriovenous fistulas (AVFs) and alternatives like arteriovenous shunts (AVS) and central venous catheters (CVCs).
    • To emphasize the negative impact of vascular access complications on patient outcomes and the necessity for improved management strategies.

    Summary:

    • Permanent vascular access (PVA) is essential for effective chronic haemodialysis (CD).
    • Native arteriovenous fistulas (AVFs) are preferred, but arteriovenous shunts (AVS) and central venous catheters (CVCs) are alternatives.
    • Complications of vascular access can lead to loss of access, negatively impacting patient lifespan and quality of life.

    Impact:

    • Improving surgical techniques and dynamic monitoring of PVAs can significantly decrease complication rates.
    • Enhanced management of vascular access can improve the quality of medical care for dialysis patients.
    • Reducing PVA complications positively influences patient survival and quality of life in the chronic haemodialysis population.

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