【摘要】血液透析血管通路是终末期肾病血液透析患者的生命线。慢性肾脏病患者往往伴有不同程度的心血管疾病,可增加血管通路手术的围手术期风险，并影响长期预后。血管通路术前应详细评价患者心脏功能及储备能力，根据患者综合情况选择恰当的血管通路策略，以为临床治疗提供更多参考,现就研究进展综述如下。

【Abstract】Hemodialysis vascular access is a life line for hemodialysis patients with end-stage renal disease. Patients with chronic kidney disease are often associated with various degrees of cardiovascular disease, which increases the perioperative risk of vascular access surgery and affects long- term outcomes. Cardiac function and its reserved capacity should be evaluated in detail before vascular access surgery. To provide references for clinical treatment, appropriate vascular access strategy should be selected according to the comprehensive situations of the patients. The research progress about this issue is summarized in this review.