Vascular Access Surgery
A vascular access is a Haemodialysis patient’s lifeline. The access is surgically created vein used to remove and return blood during Haemodialysis.
WHAT IS A VASCULAR ACCESS FOR HAEMODIALYSIS? WHAT ARE THE TYPES OF VASCULAR ACCESS?
A vascular access is a Haemodialysis patient’s lifeline. The access is surgically created vein used to remove and return blood during Haemodialysis. A vascular access lets large amount of blood flow continuously during Haemodialysis treatments to filter as much blood as possible per treatment.
There are 3 types of vascular access
1. Native arteriovenous fistula (AVF) - AVF remains the first choice for chronic HD. It is the best access for longevity and has the lowest association with morbidity and mortality
2. Arteriovenous graft - Once autogenous options have been exhausted, prosthetic fistulae become the second option of maintenance HD access alternatives
3. Central venous catheter (CVC)- CVCs have become an important adjunct in maintaining patients on HD. The preferable locations for insertion are the internal jugular and femoral veins. The subclavian vein is considered the third choice because of the high risk of thrombosis. Complications associated with CVC insertion range from 5% to 19%.Temporary vascular access can be obtained with cuffed or non-cuffed catheters. Catheters should be reserved for acute dialysis, when immediate access is needed, or for patients for whom permanent vascular access is problematic
Nipro JMI Dialysis Centre. also provides an expert team of surgeons who create vascular access by a one-stop appointment service with the surgeons. Our patients can go home after the surgery once a successful operation has been assured.