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Hemodynamics and Complications Encountered with Arteriovenous Fistulas and Grafts as Vascular Access for Hemodialysis: A Review

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Abstract

This review article describes the current state of affairs concerning in vivo, in vitro and in numero studies on the hemodynamics in vascular access for hemodialysis. The use and complications of autogenous and non-autogenous fistulas and catheters and access port devices are explained in the first part. The major hemodynamic complications are stenosis, initiated by intimal hyperplasia development, and thrombosis. The different in literature proposed conceivable causes of intimal hyperplasia development like surgical interventions, compliance mismatch, wall shear stress (WSS) and shear rate, vessel wall thrill and blood pressure are discussed on the basis of in vivo, in vitro and in numero studies.

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Authors and Affiliations

  1. Hydraulics Laboratory, Institute Biomedical Technology, Ghent University, Sint-Pietersnieuwstraat 41, 9000, Ghent, Belgium

    Ilse Van Tricht & Pascal Verdonck

  2. Federal Health Care Knowledge Centre, Brussels, Belgium

    Dirk De Wachter

  3. Department of Surgery, Academic Hospital Maastricht, The Netherlands

    Jan Tordoir

Authors
  1. Ilse Van Tricht
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  2. Dirk De Wachter
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  3. Jan Tordoir
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  4. Pascal Verdonck
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Correspondence to Ilse Van Tricht.

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Van Tricht, I., De Wachter, D., Tordoir, J. et al. Hemodynamics and Complications Encountered with Arteriovenous Fistulas and Grafts as Vascular Access for Hemodialysis: A Review. Ann Biomed Eng 33, 1142–1157 (2005). https://doi.org/10.1007/s10439-005-5367-X

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