SciELO - Scientific Electronic Library Online

vol.21 issue1Thrombotic patient with heparin-induced thrombocytopenia in hemodialysis: addressing circuit anticoagulation author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google


Enfermería Nefrológica

On-line version ISSN 2255-3517Print version ISSN 2254-2884


MARTINEZ RODRIGUEZ, Engracia; DIAZ GARCIA, Covadonga; MON RODRIGUEZ, Ana María  and  MENDEZ GONZALEZ, Alejandra. Choice of vascular access in a tetraplegic patient on hemodialysis: an obstacle to overcome. Enferm Nefrol [online]. 2018, vol.21, n.1, pp.81-85. ISSN 2255-3517.

Vascular accesses are one of the mainstays of hemodialysis. The ideal access should provide an adequate blood flow, be long-lasting, allow easy and uncomplicated handling.

The choice of access should be individualized for each patient, according to various aspects such as clinical history, vascular map or patient preferences. Autologous arteriovenous fistula is the access that most resembles the qualities of ideal access, being the first-line access.

Tunneled central venous catheters are restricted for situations with inability to achieve first-line access.

The aim of this article is to show the experience of a tetraplegic patient in HD, in the search and selection of his vascular access.

The choice of the most appropriate access in such cases has important added connotations, so the decision is not always easy. On the one hand, the first-line access may limit or condition the daily work of tetraplegic / paraplegic patients, and, on the other hand, catheters substantially increase the risk of infections and morbimortality.

Keywords : vascular access; autologous arterio-venous fistula; tunneled venous catheter; tetraplegia/paraplegia.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )