Vascular Access Creation & Care
Reliable vascular access is essential for hemodialysis. Planning aims to use the safest and most durable access possible for the individual patient while avoiding unnecessary emergency catheter use whenever feasible.
Care built around the clinical picture.
AV fistula planning and access pathway coordination
Permcath planning and care
Access examination before and during dialysis care
Evaluation of access dysfunction, infection or clotting concerns
Education on everyday access protection
A clear evaluation, then a practical plan.
Access planning considers kidney function trajectory, blood vessel quality, expected dialysis needs and other medical conditions. Vascular mapping or specialist procedural assessment may be coordinated when required.
Reasons patients are often referred.
- Approaching hemodialysis
- Need for permcath or fistula planning
- Reduced or absent fistula thrill
- Access swelling, redness, pain or prolonged bleeding
- Catheter fever, chills, discharge or dressing concerns
Frequently asked questions.
Why is a fistula often preferred?
When suitable, fistulas generally last longer and have fewer infection and clotting problems than dialysis catheters.
Can a permcath be used immediately?
A tunneled dialysis catheter can generally be used soon after placement, which is why it may be used when dialysis must start quickly.
What if I cannot feel the fistula thrill?
A sudden loss or major change in the usual vibration should be reported promptly to the dialysis team.
Need to discuss a kidney concern?
Choose your preferred OPD location and request an appointment with Dr. Aakanksha Sharma.