Annals of Biomedical Engineering

, Volume 33, Issue 9, pp 1142–1157 | Cite as

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

  • Ilse Van Tricht
  • Dirk De Wachter
  • Jan Tordoir
  • Pascal Verdonck
Article

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.

Keywords

Review Vascular access Hemodialysis Complications Hemodynamics Modelling Intimal hyperplasia 

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Copyright information

© Biomedical Engineering Society 2005

Authors and Affiliations

  • Ilse Van Tricht
    • 1
  • Dirk De Wachter
    • 2
  • Jan Tordoir
    • 3
  • Pascal Verdonck
    • 1
  1. 1.Hydraulics Laboratory, Institute Biomedical TechnologyGhent UniversityGhentBelgium
  2. 2.Federal Health Care Knowledge CentreBrusselsBelgium
  3. 3.Department of SurgeryAcademic Hospital MaastrichtThe Netherlands

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