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Abstract
Vascular access (VA) is the fundamental basis of all extracorporeal dialysis treatment, its proper functioning having a direct influence on the quality of life of the patient and his or her morbidity and mortality. The ideal vascular VA should allow a safe and continuous approach to the vascular system, provide sufficient flow to achieve an adequate dialysis dose and be free of complications. According to SEN guidelines, the first choice of VA is arteriovenous fistula (AVF): preferably native, prosthetic, etc. However, when these possibilities are exhausted, permanent tunneled catheters are used.
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