Vnitr Lek 2023, 69(1):E15-E18 | DOI: 10.36290/vnl.2023.011

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

Ondřej Hloch1, Jan Brož1, Jan Masopust1, Dana Mokrá1, Martin Souček1, Sabina Pálová1, Karel Vik2, Ondřej Pátek1, Jiří Charvát1
1 Interní klinika 2. LF UK a FN v Motole, Praha
2 Klinika kardiovaskulární chirurgie 2. LF UK a FN v Motole, Praha

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: AV fistula, vascular access, hemodialysis, catheter.

Accepted: February 14, 2023; Published: February 17, 2023  Show citation

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Hloch O, Brož J, Masopust J, Mokrá D, Souček M, Pálová S, et al.. Optimal vascular access to hemodialysis, or what modern medicine offers us. Vnitr Lek. 2023;69(1):E15-18. doi: 10.36290/vnl.2023.011.
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