Tissue-Engineered Vascular Grafts for Hemodialysis Access

With an aging global population and increasing incidence of chronic kidney disease, a growing number of patients require hemodialysis (HD) worldwide. Arteriovenous fistula (AVF) remains the gold standard for HD access, but many patients lack suitable autologous vessels or experience poor maturation outcomes. For these patients, traditional prosthetic grafts (AVGs) serve as an alternative, yet they are prone to high infection rates and limited durability. These challenges have driven the development of tissue-engineered vascular grafts (TEVGs). This review highlights TEVGs that have advanced to clinical trials, primarily for the application of HD access conduit with an emphasis on graft characteristics and key clinical outcomes.