Local hemodynamics of the vascular access for hemodialysis.
Vascular access is called Achilles' heel of hemodialysis because it is associated with a substantial morbidity. A permanent vascular access is created either by a direct connection of the patient's own artery and vein or by the interposition of a graft. Arteriolar beds are bypassed, which leads to a substantial increase in arterial (and venous) flow and the vessels adapt to it by a complex of interesting processes. These are reviewed together with some pathophysiological mechanisms of access complications.
Malik
J
J
Third Department of Internal Medicine, General University Hospital, First School of Medicine, Charles University, Prague, Czech Republic. malik.jan@vfn.cz
Tuka
V
V
Tesar
V
V
D002408:Catheters, Indwelling / Q000009:adverse effects*; D006439:Hemodynamics; D006801:Humans; D006435:Renal Dialysis / Q000009:adverse effects*