Apart from the providing as safe and comfortable treatment environment, it is assuring for any patient that the medical management and staff are knowledgeable but possess the requisite experience in providing top quality care to all patients.
Health Solutions prides itself on having a management and nursing team with over 100 years of combined work experience in nephrology, kidney transplant, general surgery and dialysis nursing that provides tremendous comfort to the overall patient experience at our facility.
Through a surgical procedure, an AV fistula connects your artery directly to a vein, typically in the forearm. Connecting the artery to the vein causes more blood to flow into the vein. As a result, the vein grows larger and stronger, making repeated needle insertions for hemodialysis treatments easier. This method is often ideal because your own tissue is used, decreasing the chance of infection and clotting. Keep in mind, when a fistula access is created you will need to give it time to “mature” for use approximately 8 – 10 weeks. To develop your new fistula, be sure to exercise your access arm by squeezing a foam ball or using hand grips as directed. This helps the fistula develop properly.
Another option is to implant a synthetic tube, or graft, to connect your artery and vein under the skin in your arm. The graft becomes an artificial vein that can be used repeatedly for needle placement and blood access during hemodialysis. A well-cared-for graft can last several years and maturation is not required.
If your kidney disease has progressed quickly, you may not have time to get a permanent vascular access before hemodialysis has to be initiated. A decision is then made to create a tunnelled catheter access site. The catheter is a long Y-shaped tube which the tip can be placed in your neck, chest or groin and is connected to a central vein. The other end of the tubing exits your skin and is attached to the tubing on the dialysis machine. Once the catheter is inserted it can be used immediately for dialysis. This choice of access is only used as a last resort as most catheters have a high infection rate and clot more frequently.
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