Kims

Vascular Access for Kidney Disease

Vascular Access for
Kidney Disease

The ideal hemodialysis vascular access is one that provides reliable, complication-free access to deliver prescribed dialysis

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Hemodialysis/dialysis is done when kidneys fail to function properly. A dialysis machine is an artificial/mechanical kidney that is used to filter out blood.

In this, blood of the patient is made to pass through that dialysis machine, circulated in it and then returned back to the patient. Two needles are inserted into the patient’s bloodstream to carry out the procedure.

It is required to be done at least three times per week. The aim of vascular access is to provide proper sites in order to draw out the blood. Arteriovenous fistula, arteriovenous graft, and venous catheter are three types of vascular accesses.

The vascular accesses are usually created in the arm and sometimes in legs.

Access Options:
1. Arteriovenous Fistula

A surgeon creates a connection between an artery and a vein that is called an Arteriovenous Fistula . The vein then undergoes enlargement and…

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2. Arteriovenous Graft

Patients who cannot go for arteriovenous fistula, an arteriovenous graft is considered for them. It is a cylindrical tube of synthetic material, which is…

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3. Venous Catheter

A Venous catheter (a plastic tube), is inserted into a large vein. The outer portion of the catheter is exposed to the chest wall and allows the tubing…

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Pre-Op Precautions

In preparation for vascular access, the patient should keep one arm reserved from where there should be no blood draws, intravenous lines (IVs) or taking of blood pressure. The vascular surgeon can prescribe a non-invasive duplex ultrasound, or a venogram. A venogram, special x-ray procedure. In this a contrast dye is injected into the veins, therefore, the detailed picture of the veins is taken. It is only required in patients having a lot of previous dialysis access procedures or venous anatomy is unclear. The vascular surgeon with his staff will advise the patient procedure prerequisites and medications.

Post Operative Care
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Post Operative Care
2

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Post Operative Care
3

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