Abstract: 【Abstract】Objective To compare the dialysis adequacy and complications in hemodialysis patients with different vascular access, and try to find out an ideal vascular access approach.  Methods Patients who underwent long-term hemodialysis access operation between June, 2009 and June, 2010 in Department of Nephrology General Hospital of PLA were enrolled in this study. Kt/V value and the morbidity of access-related complications were evaluated and compared in a follow-up period of 12 months among patients using vascular access of native arteriovenous fistula (AVF), and cuffed and tunneled catheter (CTC) in an internal jugular vein.  Results In the 74 maintenance hemodialysis patients, 53 cases used native AVF, and 21 cases used CTC as the long-term vascular access for hemodialysis. Patients using native AVF for vascular access were younger, and had lower infection rate than the patients using CTC for the access (P<0.05). Thrombosis rate was lower in AVF group than in the CTC group, but the difference was insignificant (P>0.05).  Conclusion Patients using native AVF for vascular access for hemodialysis were younger, and had lower rate of thrombosis and infection. Therefore, native AVF is preferable for long-term vascular access. When this type of vascular access is difficult to be established, CTC can also be chosen with relatively satisfactory effect of dialysis.

Key words: Vascular access, Dialysis adequacy, Complication