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June 11, 2026Open Access

Redefining the hemodialysis lifeline: evolution of vascular access from fistulas to needle-free connected systems

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Authors

PPP. Jana Nandhana PerumalSSS. Sandhiya Shanmugam

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Overview

Narrative review explores the shift to needle-free vascular access systems in hemodialysis, proposing innovations to reduce infection risks.

Key Points

  • This review aims to analyze the evolution of vascular access methods in hemodialysis and introduce innovations to reduce complications.
  • Reviewed current vascular access methods including AV fistula, AVG, and CVC.
  • Discussed technological advancements in needle-free vascular access systems.
  • Introduced the SHIVAT concept for improved safety in vascular access.
  • AV fistulas offer the best long-term access but have limitations such as risk of infection and maturation time.
  • Needle-free systems aim to reduce complications from repeated needle use and improve patient comfort.
  • SHIVAT shows promise in offering a safe alternative, but still presents risks such as stenosis and thrombosis.

Cite This Study

Perumal et al. (2026) studied this question.

synapsesocial.com/papers/6a2a526080c8f91e7f39e614https://doi.org/10.5281/zenodo.20603882
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