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Vascular access for hemodialysis: A perpetual challenge
Author(s) -
Murea Mariana,
Geary Randolph L.,
Davis Ross P.,
Moossavi Shahriar
Publication year - 2019
Publication title -
seminars in dialysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 78
eISSN - 1525-139X
pISSN - 0894-0959
DOI - 10.1111/sdi.12828
Subject(s) - medicine , vascular access , hemodialysis , intensive care medicine , hemodialysis access
Vascular access for hemodialysis has a long and rich history. This article highlights major innovations and milestones in the history of angioaccess for hemodialysis. Advances in achievement of lasting hemodialysis access, swift access transition, immediate and sustaining access to vascular space built the momentum at different turning points of access history and shaped the current practice of vascular access strategy. In the present era, absent of large‐scale clinical trials to validate practice, the ever‐changing demographic and comorbidity makeup of the dialysis population pushes against stereotypical angioaccess goals. The future of hemodialysis vascular access would benefit from proper randomized clinical trials and acclimatization to clinical contexts.