Optimal vascular access to hemodialysis, or what modern medicine offers us

Czech version

Authors: Ondřej Hloch ¹; Jan Brož ¹; Jan Masopust ¹; Dana Mokrá ¹; Martin Souček ¹; Sabina Pálová ¹; Karel Vik ²; Ondřej Pátek ¹; Jiří Charvát ¹
Authors‘ workplace: Interní klinika 2. LF UK a FN v Motole, Praha ¹; Klinika kardiovaskulární chirurgie 2. LF UK a FN v Motole, Praha ²
Published in: Vnitř Lék 2023; 69(E-1): 15-18
Category: Review Articles
doi: https://doi.org/10.36290/vnl.2023.011

Overview

Hemodialysis is a life-saving method for patients with acute and chronic kidney failure. This treatment requires sufficiently large and safe vascular access. Ensuring optimal vascular access is therefore a prerequisite and an integral part of the care of these patients. In addition to commonly known vascular approaches such as non-tunnelized or tunneled hemodialysis catheters and AV fistulas, less well-known methods are also available, such as a translumbar or directly surgically inserted hemodialysis catheter into the right atrium. However, these alternative approaches are the only, life-saving alternative for some patients. The ambition of this review article is to offer a comprehensive view of the available options for vascular access, the algorithm for its selection and solutions to the most common complications in clinical practice.

Keywords:

catheter – hemodialysis – vascular access – AV fistula

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Labels

Diabetology Endocrinology Internal medicine

Ethical aspects in oncology

Clinical microbiology and its role in current medicine

Development of chronic venous disease

Article was published in

Internal Medicine

2023 Issue E-1