Dialysis Access Surgery & Maintenance

Welcome to the Dialysis Access Surgery & Maintenance Clinic at Emirates Hospitals Group in Dubai. Our dedicated clinic provides expert care for creating and maintaining dialysis access points, ensuring smooth and effective dialysis treatments. Our team of skilled surgeons and nephrologists is committed to delivering personalized care to support your ongoing renal therapy and overall well-being.

What is Dialysis Access Surgery?

Dialysis access surgery is essential for patients undergoing dialysis, as it establishes a stable and efficient way to connect with the dialysis machine. The main types of dialysis access include arteriovenous (AV) fistulas, AV grafts, and central venous catheters. Proper maintenance of these access points is crucial to prevent complications such as infections, clotting, or stenosis. At Emirates Hospitals Group, we utilize state-of-the-art techniques to ensure optimal outcomes and maintain the functionality of your dialysis access.

Dialysis Access Surgery Procedures

Our clinic offers various procedures for creating and maintaining dialysis access:

• Arteriovenous (AV) Fistula Creation: A surgical procedure where an artery and a vein are connected to create a high-flow access point for dialysis. This is typically preferred due to its longevity and lower risk of complications.
• Arteriovenous (AV) Graft Placement: In cases where an AV fistula is not feasible, a synthetic graft is used to connect an artery and vein. This provides an alternative access point for dialysis.
• Central Venous Catheter Insertion: A catheter is placed in a large vein, usually in the neck or chest, for immediate access to the bloodstream. This is often used for temporary dialysis access.
• Access Maintenance: Regular monitoring and maintenance of dialysis access points to ensure proper function and prevent complications. This may involve procedures to address issues such as clotting, infection, or narrowing of the access point.
• Access Revision: Surgical procedures to correct or improve the function of an existing access point if complications or issues arise.

Dialysis Access Surgery Causes

Dialysis access surgery is necessary due to:

• Chronic Kidney Disease (CKD): Advanced stages of CKD require dialysis to manage kidney function and remove waste products from the blood.
• End-Stage Renal Disease (ESRD): Patients with ESRD need reliable dialysis access to perform regular treatments and manage their condition effectively.
• Complications of Previous Access: Issues such as thrombosis, infection, or stenosis in existing access points may necessitate surgical intervention or revision.

Dialysis Access Surgery Symptoms

Symptoms indicating the need for dialysis access or maintenance may include:

• Difficulty with Dialysis: Issues with achieving adequate blood flow or complications during dialysis treatments.
• Swelling: Swelling or discomfort around the access site.
• Pain: Persistent pain or tenderness at the access point.
• Infection Signs: Redness, warmth, or discharge at the access site, which may indicate infection.
• Reduced Access Function: Decreased blood flow or difficulty in using the access point for dialysis.

Dialysis Access Surgery Diagnosis

Diagnosing the need for dialysis access surgery involves:

• Medical History and Physical Examination: A thorough review of your medical history and examination of the access site to assess its function and identify any issues.
• Imaging Studies: Techniques such as ultrasound or angiography to visualize the blood vessels and assess the suitability of the access site.
• Blood Tests: To evaluate kidney function, blood flow, and detect any underlying conditions affecting access.
• Access Site Evaluation: Assessing the condition of the existing access point (if applicable) and determining if revision or replacement is needed.

Dialysis Access Surgery Recovery Process

Recovering from dialysis access surgery involves:

• Post-Procedure Monitoring: Observing the access site and overall condition in the hospital to ensure there are no immediate complications.
• Follow-Up Appointments: Regular visits to monitor the function of the access point and make any necessary adjustments or interventions.
• Wound Care: Proper care of the surgical site to prevent infection and ensure healing. Instructions will be provided on how to care for the access point.
• Lifestyle Adjustments: Adhering to recommendations for managing your dialysis access, including avoiding activities that could impact the site and following a care routine to ensure optimal function.
• Support and Education: Receiving guidance on managing your access point, recognizing signs of complications, and understanding the importance of maintenance for effective dialysis treatment.