Manejo de los accesos vasculares para hemodiálisis

Vascular access for hemodialysis is of the utmost importance for all patients undergoing this dialysis technique, posing the need for all the specialists involved to coordinate in order to provide each patient with the best solution and possible alternatives (vascular surgery, angiologists, nephrology nurses). The present article evaluates the optimal type vascular access. The distinct approaches to the most common problems of vascular access in the predialysis and dialysis phases are analyzed, considering the three possibilities: arteriovenous fistula, prosthesis and venous catheter.