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Review
. 2023 Jun;36(2):300-306.
doi: 10.1053/j.semvascsurg.2023.04.008. Epub 2023 Apr 29.

Acute problems of hemodialysis access: Thrombosis, aneurysms, symptomatic high-flow fistulas, and complications related to central lines

Marco Franchin  1 , Marco Tadiello  2 , Luca Guzzetti  3 , Andrea Gattuso  2 , Francesca Mauri  4 , Maria Cristina Cervarolo  4 , Mario Giovanni Gerardo D'Oria  5 , Matteo Tozzi  4
Affiliations
Review

Acute problems of hemodialysis access: Thrombosis, aneurysms, symptomatic high-flow fistulas, and complications related to central lines

Marco Franchin et al. Semin Vasc Surg. 2023 Jun.

Abstract

Hemodynamic complications frequently affect vascular access and are important causes of morbidity and mortality. We present a review of acute complications affecting vascular accesses, focusing on classical and new treatments. Acute complications in hemodialysis vascular access are often underestimated and undertreated, and can present a challenge for both vascular surgeons and anesthesiologists. Accordingly, we considered different anesthesiologic approaches to both hemorrhagic and nonhemorrhagic patients. A strict collaboration among nephrologists, surgeons, and anesthesiologists can potentially improve prevention and management of acute complications and quality of life.

Keywords: Central vein catheter; Infections; Occlusion; Stenosis; Vascular access.

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Conflict of interest statement

Declaration of Competing Interest The authors declares that they have no relevant or material financial interests that relate to the research described in this paper.