Abstract: Vascular access is the lifeline of maintenance hemodialysis patients. With the aging of the population, increasing incidence of diabetes and hypertension, and prolonged dialysis age of dialysis patients, establishment and maintenance of vascular access are becoming more and more difficult. Since Bresia and Cimino first established autogenous arteriovenous fistula surgically in 1966, the development of vascular access technology has been relatively slow for more than half a century. However, in recent years, new technologies have emerged to establish and maintain vascular access. In this review,we will describe the technical progress related to vascular access in hemodialysis, such as endovascular techniques to establish autogenous arteriovenous fistulas, new graft materials to establish arteriovenous graft, and drug coated balloons, stents graft.

Key words: vascular access, endovascular font-family:arial, font-size:13px, background-color:#FFFFFF, ">arteriovenous fistula, bioengineered vessel, drug-coated balloon, stent graft