HomeSpecialities Complex Dialysis Access

 
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Dialysis fistula/graft declotting interventions improve blood flow in fistula and grafts – artificial blood vessel connections used to facilitate kidney dialysis, a treatment that uses a special machine to remove waste materials from the body. These connections can clog or narrow and require angioplasty and vascular stenting or catheter-directed thrombolysis.

Dialysis fistula/graft declotting and interventions are minimally invasive procedures performed to improve or restore blood flow in the fistula and grafts placed in the blood vessels of dialysis patients.

Dialysis is a process used to treat patients whose kidneys are not working properly. It involves a special machine and tubing that removes blood from the body, cleanses it of waste and extra fluid and then returns it back to the body. In order for a person to undergo dialysis, a physician first creates access to his or her blood vessel using one of three methods:

  • a fistula, which is made by joining together an artery and vein to make a bigger high-flow blood vessel.



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  • a graft, in which a soft plastic tube is placed between an artery and a vein, creating an artificial high-flow blood vessel.
  • catheter access, in which a narrow plastic tube is inserted into a large vein, usually in the neck or groin.

How is the procedure performed?

This procedure is often done on an outpatient basis. However, some patients may require admission following the procedure. Ask your doctor if you will need to be admitted.
You will lie on the procedure table.
The doctor or nurse may connect you to monitors that track your heart rate, blood pressure, oxygen level, and pulse.

A nurse or technologist will insert an intravenous (IV) line into a vein in your hand or arm to administer a sedative. This procedure may use moderate sedation. It does not require a breathing tube. However, some patients may require general anesthesia.

The nurse will sterilize the area of your body where the catheter is to be inserted. They will sterilize and cover this area with a surgical drape.
Your doctor will numb the area with a local anesthetic. This may briefly burn or sting before the area becomes numb.

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Indraprastha Apollo Hospital, Mathura Rd, New Delhi,
Delhi 110076
 
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Dr. Shradha Engles

MBBS, MS - Master of Surgery, FVES - Vascular and Endovascular Surgery

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