Semin Thromb Hemost
DOI: 10.1055/s-0037-1606180
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Complications of Vascular Access in Hemodialysis

Avais Masud1, Eric J. Costanzo1, Roman Zuckerman1, Arif Asif1
  • 1Department of Medicine, Seton Hall-Hackensack Meridian School of Medicine, Jersey Shore University Medical Center, Neptune, New Jersey
Further Information

Publication History

Publication Date:
12 September 2017 (eFirst)


Complications related to hemodialysis vascular access continue to have a major impact on morbidity and mortality. Vascular access dysfunction is the single most important factor that determines the quality of dialysis treatment. Vascular access stenosis is a common complication that develops in a great majority of patients with an arteriovenous access and leads to access dysfunction. By restricting luminal diameter, this complication leads to a reduction in blood flow and places the access at risk for thrombosis. Similarly, the development of catheter-related fibroepithelial sheath also causes catheter dysfunction with its detrimental effects on blood flow. In this article, we discuss the most common complications associated with dialysis access and provide therapeutic options to manage these problems.