Dialysis Access/ESRD Services
From surgical creation of dialysis access (AV Fistula or AV Graft) to minimally invasive procedures to help maintain a healthy access, our expert staff will help navigate you through your journey as we work closely with your nephrologists/dialysis centers.
This is performed in the office using ultrasound and is painless. Our board-registered Vascular Technologist, with years of experience, will perform the examination. The exam takes 45-60 minutes.
A hemodialysis catheter is a hollow tube used for removal and replacing blood to and from your body. The catheter is typically tunneled from the internal jugular vein(IJ) with the tip entering the atrium of the heart. An exit site for the catheter is in the chest wall, under the collar bone. A small cuff on the catheter at the exit site sits under the skin. This cuff helps to keep the catheter in place and helps prevent bacteria from entering the body.
The end of the catheter (outside of the exit site) known as a hub has 2 lumens. One lumen carries blood to the dialysis machine, while the other brings blood back into the body once it has been cleansed by the machine. Each lumen has a clip and an end cap that prevent air from getting into or blood from leaking out of the catheter. We can perform hemodialysis catheter placements, exchanges and removals for (dialysis patients) in our office.
A Functioning Vascular Access is Vital for Dialysis. Warning Signs Your Access May Be Failing –
- Prolonged Bleeding
- Difficult Cannulation
- Arm Swelling
- Aneurysm Formation/Growth
- High Venous Pressures
- No Thrill/Change in Thrill
- Non-maturing Fistula
- Poor Clearance
- Clotting of Needles or Lines
- Abnormal Arterial Pressures
- Poor Flow
- Poor Catheter Flow (less than 300ml/min)
- Poor Clearance
- Clotting of Lines
- Unable to Aspirate
If you notice ANY of these symptoms, please inform your doctor or nurse immediately.
What can I do to keep my dialysis access healthy?
- Examine your access daily to ensure there is a thrill
- Keep site clean
- Wash skin daily with soap and water
- Avoid sleeping on your access arm
- Avoid carrying heavy objects with your access arm
- Avoid checking blood pressure on your access arm
I have a catheter:
- Keep site clean and dry
- Dressing changes will be done at dialysis center
- Transition to a fistula or a graft as soon as possible
For more information please visit http://www.mayoclinic.org/diseases-conditions/end-stage-renal-disease/home/ovc-20211679