Hospital of Sabadell

Presentation and objectives

Alarm signs of vascular access dysfunction are specific but insensitive, with thrombosis and loss of angioaccess being common. At the same time, the difficult puncture fistula can hide pathology or a difficult path that can lead to traumatic punctures and morbidity. These signs do not usually motivate radiological examinations and result in a late diagnosis. On the other hand, the morbidity associated with catheterization of central pathways may be important when performed by direct puncture by anatomical reference.

This is why the use of ultrasound by the Nephrologist in the Hemodialysis Unit can become a very useful tool. Working in coordination with Radiologists and Vascular Surgeons can result in a decrease in morbidity.

The aim of the course is to ensure that the nephrologist is able, with the use of ultrasound, to:

  • Recognize the pathology of the FAV, guide in the complex puncture and perform flow monitoring.
  • Recognize the cervical and femoral vascular anatomy for the placement of central pathways and be able to perform their eco-directed approach.

And, on the other hand, that the vascular surgeon and the radiologist know the criteria to be valued in the approach of the pathological vascular access from the nephrological point of view.


Accreditation requested from the "Catalan Council for Continuing Education of the Health Professions - Commission for Continuing Education of the National Health System". 09/027100-MD.
Previous edition credits: 4.2.

Declaration of Health Interest by the Ministry of Health, Social Services and Equality.