Ten tips for the management of vascular access in hemodialysis patients.
- 1Nephrology Unit, Department of Medicine and Surgery, University Hospital of Parma, Parma, Italy.
- 2Nephrology and Dialysis Unit, Hospital of Belluno, Belluno, Italy.
- 3Nephrology Unit, University Hospital of Verona, Verona, Italy.
Abstract
Vascular access management represents one of the central challenges in hemodialysis care, requiring the nephrologist to navigate a complex and dynamic process that begins well before the first dialysis session and continues throughout the patient's entire treatment trajectory. This challenge is further amplified by the growing age and comorbidity burden of the hemodialysis population, and by the recent shift toward high-convection-volume hemodiafiltration, which depends on a reliably functioning access. Drawing on current evidence and clinical experience, this narrative review argues that optimal outcomes depend not on any single intervention, but on a coherent, longitudinal approach integrating timely planning, careful patient selection, surgical precision, and structured follow-up. In this context, the nephrologist plays a pivotal coordinating role, and assuming ownership of this field through continuous training, multidisciplinary engagement, and education of patients and colleagues remains essential to improving outcomes along the entire course of kidney disease.
Related
- Association of hemodialysis vascular access type with dialysis adequacy and access-related outcomes in patients receiving maintenance hemodialysis.
- Factors influencing self-care in hemodialysis patients with autogenous arteriovenous fistulas for vascular access
- First human use of an allogeneic tissue-engineered vascular graft for hemodialysis access
- Alkaline Phosphatase and Cumulative Vascular Access Burden in Maintenance Hemodialysis: An Exploratory Clinical Study
- Outcomes and organ protection effects of perioperative precision venous access management strategies in patients undergoing complex hepatobiliary, pancreatic, splenic and abdominal great vascular surgery: a systematic review and meta-analysis.
BibTeX
@article{percudani2026tips,
title = {{Ten tips for the management of vascular access in hemodialysis patients.}},
author = {Uberto Percudani and Marco Delsante and Giordano Pastori and Meilad Shakkour and Enrico Fiaccadori and Andrea Bandera},
journal = {Clinical kidney journal},
year = {2026},
month = oct,
doi = {10.1093/ckj/sfag366},
url = {https://europepmc.org/article/MED/42924074},
note = {CC BY},
}
RIS
TY - JOUR
TI - Ten tips for the management of vascular access in hemodialysis patients.
AU - Uberto Percudani
AU - Marco Delsante
AU - Giordano Pastori
AU - Meilad Shakkour
AU - Enrico Fiaccadori
AU - Andrea Bandera
PY - 2026
DA - 2026/10/10
JO - Clinical kidney journal
DO - 10.1093/ckj/sfag366
UR - https://europepmc.org/article/MED/42924074
AB - Vascular access management represents one of the central challenges in hemodialysis care, requiring the nephrologist to navigate a complex and dynamic process that begins well before the first dialysis session and continues throughout the patient's entire treatment trajectory. This challenge is further amplified by the growing age and comorbidity burden of the hemodialysis population, and by the recent shift toward high-convection-volume hemodiafiltration, which depends on a reliably functioning access. Drawing on current evidence and clinical experience, this narrative review argues that optimal outcomes depend not on any single intervention, but on a coherent, longitudinal approach integrating timely planning, careful patient selection, surgical precision, and structured follow-up. In this context, the nephrologist plays a pivotal coordinating role, and assuming ownership of this field through continuous training, multidisciplinary engagement, and education of patients and colleagues remains essential to improving outcomes along the entire course of kidney disease.
SN - 2048-8505
SN - 2048-8513
ER -