Review ArticleHaemodialysis access: the case for prospective monitoringSmits, Johannes H.M.; Blankestijn, Peter J.Author Information Department of Nephrology, University Medical Center, Utrecht, The Netherlands Correspondence to Peter J. Blankestijn, Department of Nephrology, Room F03.226, University Medical Center, PO Box 85500, 3508 GA Utrecht, The Netherlands. Tel: +(31) 30 2507329; fax: +(31) 30 2543492; e-mail: P.J.Blankestijn@digd.azu.nl Current Opinion in Nephrology and Hypertension: November 1999 - Volume 8 - Issue 6 - p 685-690 Buy Abstract Thrombosis in haemodialysis accesses remains a major problem. It is associated with stenosis that causes haemodynamic and anatomical changes. By prospective monitoring it is possible to identify patients at risk of thrombosis. Those patients should be referred for corrective intervention. This approach can result in a thrombosis rate below the advised quality of care standard of 0.5 thromboses/patient-year. © 1999 Lippincott Williams & Wilkins, Inc.