Vascular access in continuous arteriovenous hemodiafiltration

The Acute Dialysis Quality Initiative--part VI: access and anticoagulation in CRRT

Both the choice of vascular access and anticoagulant regimen for continuous renal replacement therapy (CRRT) are a major determinant of not only circuit life span but also affect solute clearance. This evidence-based review critically examines the published rature on different vascular access sites, access types, and anticoagulation regimens, to provide clinical guidelines for good working practices and to direct future studies.