Vascular access in therapeutic apheresis: Update 2013

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39 Scopus citations


This review addresses the types of vascular access available for patients who need therapeutic apheresis (TA). As in hemodialysis, vascular access for TA is chosen based on type of procedure prescribed, the patient's vascular anatomy, the acuity, frequency and duration of treatment, and the underlying disease state. The types of access available include peripheral vein cannulation, central venous catheters: including nontunneled and tunneled catheters, arterio-venous grafts and arterio-venous fistulas. Peripheral veins and central venous catheters are most frequently utilized for the acute administration of TA, and may be used over a period of weeks to months. Arterio-venous grafts and fistulas are not commonly used in TA procedures, but are an option in patients with an anticipated long course of TA, usually for a period of several months or years. The types and frequency of complications associated with various types of vascular access, including: access dysfunction and infections are reviewed, and strategies for their prevention and management are offered. J. Clin. Apheresis 28:64-72, 2013. © 2013 Wiley Periodicals, Inc.

Original languageEnglish (US)
Pages (from-to)64-72
Number of pages9
JournalJournal of Clinical Apheresis
Issue number1
StatePublished - Feb 2013


  • apheresis
  • catheter
  • plasma exchange
  • plasmapheresis
  • vascular access

ASJC Scopus subject areas

  • Hematology


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