Hemodialysis Vascular Access – Core Curriculum in Nephrology (2025) Charmaine E. Lok

Description

This Core Curriculum reviews the major forms of hemodialysis vascular access (arteriovenous fistula, arteriovenous graft, and central venous catheter). It covers the planning, preparation, creation, use, and maintenance of access, emphasizing the P-L-A-N strategy (Patient ESKD Life-Plan and Access Needs). The review also addresses common complications like stenosis, thrombosis, dysfunction, and infection, as well as critical issues like access rupture and high-output cardiac failure, stressing the need for coordinated multidisciplinary management.