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Frequent vascular access thrombosis in a patient with end stage kidney disease on hemodialysis

David Kearney1, Amanda Leonberg-Yoo2, Raphael Cohen2

  • 1Health Sciences North, Sudbury, Ontario, Canada.

Seminars in Dialysis
|August 29, 2023
PubMed

Vascular access thrombosis (VAT) is common among patients receiving hemodialysis and leads to missed dialysis treatments, hospitalizations, catheter placement, and graft/fistula abandonment. This article reviews the association between hypercoagulability and VAT and the high prevalence of hypercoagulable states in end-stage kidney disease (ESKD). This article reviews the role of antithrombotic and anticoagulant medications in preventing VAT. The article concludes by reviewing the unique challenges of using vitamin K antagonists in patients with ESKD.

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