Dialysis allows people with kidney failure (renal failure) a chance to live productive lives. When kidney function decreases to a critical level or complications arise, a person may need to start dialysis. There are two main types of dialysis, hemodialysis and peritoneal dialysis.
We offer the following ways to establish and maintain your dialysis access
A permacath is a piece of plastic tubing that is similar to a jugular catheter. It is used for hemodialysis in the exact same way that a jugular catheter is used. The advantage of the permacath is that it can provide access to the vascular system for up to one year. This is important for dialysis patients because they will avoid multiple catheter insertions, which could eventually lead to vein damage.
Using a fluoroscopy machine and small tools, the interventional radiologist places the permacath in the jugular vein. The permacath is moved under the skin throughout the upper chest, under the collarbone, and the end of the catheter comes out on the chest wall. The fluoroscopy is used in order for the IR to follow the path of the catheter throughout the procedure and make sure it is placed correctly.
Peritoneal dialysis is a treatment for kidney failure that uses the lining of your abdomen, or belly, to filter your blood inside your body. Doctors call this lining the peritoneum. An interventional radiologist will place a soft tube, called a catheter, in your belly a few weeks before you start treatment. When a dialysis technician chooses to do peritoneal dialysis at home or dialysis center, they will consult with their doctor about which type of PD they will perform: Continuous ambulatory peritoneal dialysis (CAPD), which is done manually without a machine. Automated peritoneal dialysis (APD), which is done with a machine called a cycler.
Dialysis fistula/graft declotting and interventions are minimally invasive procedures performed to improve or restore blood flow in the fistula and graft placed in the blood vessels of dialysis patients.
These procedures are used to treat:
Central vein occlusion (CVO) is a common complication in chronic hemodialysis patients due to mechanical damage to the vessel walls from prior catheterization, as well as high flow rate of a functioning arteriovenous fistula (AVF). CVO could result in ipsilateral limb swelling and altered vascular access function, leading to suboptimal hemodialysis sometimes with superior vena caval syndrome resulting in facial swelling, puffiness, headache and tinnitus.
Central venous recanalization are practical strategies in treating long-segment CVO in hemodialysis patients crossing with standard wires, sharp needles and sometimes with central venous occlusion reentry devices in establishing and restoring flow through the central venous system resulting in clinical improvements.
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