Complicated hemodialysis vascular access in an elderly patient
Received:August 08, 2018  Revised:August 23, 2018
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Key words:aged  hemodialysis  central veins  percutaneous transluminal angioplasty
Author NameAffiliationE-mail
GAO Fei Department of Geriatric Nephrology  
ZHU Bei Department of Geriatric Nephrology  
BAI Yun Department of Geriatric Nephrology  
ZHANG Tao Department of Geriatric Nephrology  
YANG Hong-Yu Department of Vascular Surgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China  
ZHAO Wei-Hong Department of Geriatric Nephrology 
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      The number of the elderly patients receiving hemodialysis increase with the social and economic development, for whom vascular access is critical. However, it is difficult to establish a vascular access in the elderly patients who have more perioperative and postoperative complications and lower long-term patency rate compared with the young patients. Its long-term maintenance is also faced with many challenges. This article investigated the characteristics of vascular access and effective interventions in the elderly patients by analyzing the diagnosis and treatment of a patient who received maintenance hemodialysis in our center, providing reference for establishment and maintenance of the subsequent vascular access.