Review of permanent vascular access for haemodialysis

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Abstract:

The presence of a permanent vascular access (PVA) is the pledge of successful treatment of patients being on chronic haemodialysis (CD). Creation and maintenance of a functioning PVA is the priority task of vascular and endovascular surgeons, nephrologists and specialists of haemodialysis departments.

According to the KDOQI guidelines, the most preferable type of PVA is a native arteriovenous fistula (AVF). As an alternative it is possible to use a synthetic prosthesis for creating an arteriovenous shunt (AVS) or implantation of a central venous catheter (CVC). Various complications of vascular accesses leading to their loss create the necessity of forming just another PVA, thus negatively influencing the life span and quality of life of this cohort of patients. Improving surgical technique and approaches to treatment, as well as carrying out dynamic monitoring of the condition of the created PVA make it possible to considerably decrease the incidence rate of such complications and to improve the quality of medical care rendered.

Reference:

Manafov, E.N., Batrashov, V.A., Sergeev, O.G. and Yudaev, S.S. (2015) Permanent vascular access for haemodialysis. Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡. 21(3), p.187-93. [Article in Russian].

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