UKKA Clinical Practice Guideline: Vascular Access for Haemodialysis (April 2023)

Front

1 of 3 · Front

📘 GuidelineCh 9 · Vascular & Venous Surgery

UKKA Clinical Practice Guideline: Vascular Access for Haemodialysis (April 2023)

In one breath

UKKA's vascular access guideline for haemodialysis: early education and vein preservation, referral and fistula formation for people likely to start haemodialysis within 12 months (2C), combined clinical and ultrasound assessment, and treatment of clinically significant stenosis with dysfunction (1B).

EditionApril 2023

Issued byUK Kidney Association (UKKA)

Place of issueUnited Kingdom

⏳ Pending verification

FACE COLOURS Front — the summary · Back 1 — what it covers + key recommendations · Back 2 — evidence, changes + source

Back 1

2 of 3 · Back 1

Back colours mark the reading sections — the chapter colour is the band and chip.

§1 · What it covers

This guideline covers adult and paediatric patients planning or receiving long-term haemodialysis; surgeons, nephrologists, radiologists, nurses, and patients.

Applies to: Adult and paediatric patients planning or receiving long-term haemodialysis; surgeons, nephrologists, radiologists, nurses, and patients.

§2 · Key recommendations

Education and vein preservation should begin early.
Referral and, where suitable, fistula formation are suggested for people likely to start haemodialysis within 12 months (2C).
Decisions should combine clinical and ultrasound assessment.
central-vein imaging is suggested when clinical features or high risk suggest central venous stenosis (2C).
For access problems, treatment should be shared and account for severity, treatability, alternatives, and patient priorities.
Clinically significant stenosis with dysfunction should be treated (1B).
endovascular treatment is initial therapy for non-complex stenosis (2C).
covered stents are recommended for graft-vein outflow anastomotic stenosis after balloon dilation (1C).
Either endovascular or surgical thrombosed-access salvage is acceptable according to local expertise (1C).
Surgical repair is the main approach for access aneurysms (2D).

FACE COLOURS Front — the summary · Back 1 — what it covers + key recommendations · Back 2 — evidence, changes + source

Back 2

3 of 3 · Back 2

Back colours mark the reading sections — the chapter colour is the band and chip.

§3 · Evidence & grading

GRADE-style certainty/strength notation; examples above use 1B, 1C, 2C, and 2D. The document deliberately allows shared decisions and local expertise where evidence is weak.

§4 · What changed in this edition

Not yet established — pending verification.

§5 · Source & working link

UK Kidney Association. Clinical Practice Guideline: Vascular Access for Haemodialysis. UKKA, April 2023. DOI/PMID: Not yet established — pending verification.

Publisher — the record's original_url, carried verbatim ↗

Link check 2026-11-11: the publisher (UKKA) PDF URL fetched live — HTTP 200. The record carries no DOI/PMID, and Crossref/PubMed title searches on 2026-11-11 returned no confident match for this 2023 guideline (an earlier 2011 Renal Association guideline of a similar name exists and is NOT this document) — no identifier is printed.

Source: Tamer-supplied guideline index, intake 2026-11-10 (record #157, Domain 15) · Card built 2026-11-11 (Wave D) from the record itself; the §5.2 verification pass (UpToDate + Medscape → Perplexity → Tamer decision) has not yet run on this card. ⚑ Conflict flag on the source record — documented cross-society disagreement (intake DOCX Table 2): Dialysis access — UKKA 2023 / SBACV 2023 vs Chinese AVF consensus 2021. Unresolved — pending the verification pass (UpToDate + Medscape → Perplexity → Tamer decision).

FACE COLOURS Front — the summary · Back 1 — what it covers + key recommendations · Back 2 — evidence, changes + source

gl-div09-ukka-vascular-access-haemodialysis-2023GS.code · Guidelines

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