Interventional cardiologists who treat malfunctioning hemodialysis accesses play an important role in the life of patients with end-stage kidney disease (ESKD). By collaborating with interventional nephrologists who currently perform the bulk of routine access angiographic procedures, interventional cardiologists can fill an important gap in the care of ESKD patients by performing urgent or emergent procedures that fall outside the schedule of an outpatient interventional nephrology laboratory to ensure that hemodialysis patients will not miss a hemodialysis session or get a temporary catheter. This paper reviews the pathophysiology of dialysis access failure and illustrates the catheter-based approaches used by interventional cardiologists to treat malfunctioning dialysis accesses.

治疗血液透析通路故障的介入心脏病专家在终末期肾病 (ESKD) 患者的生活中发挥着重要作用。通过与目前执行大量常规通路血管造影术的介入肾病学家合作，介入心脏病学家可以通过执行超出门诊介入肾病学实验室时间表的紧急或急诊手术来填补 ESKD 患者护理中的一个重要空白，以确保血液透析患者不会错过血液透析疗程或获得临时导管。本文回顾了透析通路失败的病理生理学，并说明了介入心脏病学家用于治疗透析通路故障的基于导管的方法。