关键词: 慢性肾脏病, 肾透析, 血液透析, 血管通路, 心功能评价, 术前评估

Abstract: 【Abstract】Hemodialysis vascular access is a life line for hemodialysis patients with end-stage renal disease. Patients with chronic kidney disease are often associated with various degrees of cardiovascular disease, which increases the perioperative risk of vascular access surgery and affects long- term outcomes. Cardiac function and its reserved capacity should be evaluated in detail before vascular access surgery. To provide references for clinical treatment, appropriate vascular access strategy should be selected according to the comprehensive situations of the patients. The research progress about this issue is summarized in this review.

Key words: Chronic kidney disease, dialysis, hemodialysis, vascular access, cardiac assessment, preoperative assessment