【Abstract】With the number of uremic patients rapidly growing, hemodialysis has been one of important options for the elderly patients with renal failure. The establishment and maintenance of optimal vascular access (VA) is an essential precondition for successful hemodialysis. However, the elderly presents major challenges than the youth in terms of both timing and type of access due to high prevalence of comorbidities, shortened life expectancy, and reduced quality of life. This study focused on the characteristics of vessels in the elderly, elucidated the differences between the elderly and youth in the use of central venous catheter, autologous arteriovenous fistula and vascular graft fistula, and then analyzed the option of vascular access for the elderly.
