{"id":190,"date":"2018-11-12T18:37:18","date_gmt":"2018-11-12T18:37:18","guid":{"rendered":"https:\/\/mivascular.com\/?page_id=190"},"modified":"2024-01-15T09:26:16","modified_gmt":"2024-01-15T09:26:16","slug":"esrd","status":"publish","type":"page","link":"https:\/\/mivascular.com\/esrd\/","title":{"rendered":"End Stage Renal Disease (ESRD) with Dialysis Access Dysfunction"},"content":{"rendered":"

[vc_row][vc_column][vc_column_text]\"End<\/p>\n

Also referred to as end-stage kidney disease, ESRD is the most advanced state of kidney disease, resulting in the need for ongoing hemodialysis to \u201cclean out\u201d toxins from the blood. This is more commonly referred to as just \u201cdialysis\u201d. Dialysis is performed through a dialysis access. Minimally Invasive Vascular<\/a> offers expert, comprehensive and ongoing care for dialysis access such as fistulas, grafts and Permcath\u2122.<\/p>\n

Types of Dialysis Access:<\/h2>\n

Dialysis Fistula<\/h3>\n

A dialysis fistula is a connection between an artery and a vein, typically in the arm.\u00a0 This fistula is then used for hemodialysis.\u00a0 A dialysis fistula can last for many years if treated and maintained properly.\u00a0 If not properly maintained they can eventually stop working, clot and you may lose this access forever.<\/p>\n

Grafts<\/h3>\n

A graft can be used to create a dialysis fistula in patients whose veins or arteries can\u2019t be used to create a dialysis fistula, Grafts can typically be seen in either the arm or the leg.\u00a0 These also require periodic maintenance otherwise they too can stop working, clot off and fail.<\/p>\n

Permcath<\/h3>\n

Many ESRD patients benefit from utilizing a Permcath when they initially require hemodialysis. \u00a0A Permcath is a flexible tube with two access points \u2013 one to transport blood from your body to the dialysis machine and the other to return the \u201ccleaned\u201d blood to your body.<\/p>\n

Whether you have a fistula, graft or Permcath all of these will typically and eventually have problems during dialysis.<\/p>\n

If you or a loved one have symptoms of Dialysis Access Dysfunction and are undergoing dialysis, we encourage you to schedule a consultation to learn more about how Minimally Invasive Vascular can help you manage your dialysis access and improve your overall quality of life.<\/p>\n

If you have been told you \u201cneed new surgery\u201d, that your access will never mature, will not work, they recommend \u201cabandoning the access\u201d and a new access placed or you have an old access, never used or abandoned and you want to see if we can get it working again or you want a second opinion please give us a call to schedule a consult<\/a>.\u00a0 YOU MAY NOT NEED MORE SURGERY![\/vc_column_text][\/vc_column][\/vc_row][vc_row css=”.vc_custom_1548940829368{margin-top: 20px !important;margin-bottom: 20px !important;}”][vc_column][vc_tta_tour][vc_tta_section title=”Signs and Symptoms” tab_id=”symptoms”][vc_column_text]<\/p>\n

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  • Clotted access \u201cthere is no blood flow\u201d, \u201cthey stuck the needle in multiple times and they\u2019re not getting any blood back\u201d, \u201cthe pulsing stopped\u201d, \u201cthey put the stethoscope on it and they don\u2019t hear anything\u201d<\/li>\n
  • Prolonged bleeding after dialysis (longer than usual or > 10-15 minutes) \u201cbleeding takes longer than usual to stop\u201d, \u201cthere is bleeding around the needles\u201d, \u201cthey had to put extra pressure dressing on it to make it stop bleeding\u201d, \u201cit bled all night\u201d<\/li>\n
  • \u201cthe alarms on the dialysis machine turn yellow or red\u201d<\/li>\n
  • Recirculation during dialysis<\/li>\n
  • Poor clearances with bloodwork<\/li>\n
  • High venous or arterial pressures during dialysis<\/li>\n
  • Poor or decreased blood flow during dialysis<\/li>\n
  • Poorly or non-maturing arteriovenous fistula (AVF) after 6 weeks, \u201cthey still can\u2019t feel the fistula\u201d, \u201cit\u2019s still too small\u201d, \u201cit\u2019s still too deep\u201d, \u201cit\u2019s not getting any bigger\u201d<\/li>\n
  • Difficult cannulation with infiltration, \u201cthey keep missing with the needle and it hurt\u201d, \u201cthey missed and my arm started to swell and hurt and then there was this bruising\u201d<\/li>\n
  • Arm, hand, face or neck swelling<\/li>\n<\/ul>\n<\/div>\n<\/div>\n

    [\/vc_column_text][\/vc_tta_section][vc_tta_section title=”Treatment” tab_id=”treatments”][vc_column_text]<\/p>\n

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    • Dialysis Access, Periodic Clinical Evaluation and Maintenance<\/li>\n
    • On-site Diagnostic Duplex Ultrasonography<\/li>\n
    • Diagnostic Intra Vascular Ultra Sonography (IVUS)<\/li>\n
    • Angiography<\/li>\n
    • Venography<\/li>\n
    • Fistulography<\/li>\n
    • Arterial and Venous Angioplasty<\/li>\n
    • Stent Placement<\/li>\n
    • Thrombolysis and Thrombectomy<\/li>\n
    • Permcath Exchange<\/li>\n
    • Fistula Maturation<\/li>\n
    • Evaluation for Steal Syndrome<\/li>\n<\/ul>\n<\/div>\n<\/div>\n

      [\/vc_column_text][\/vc_tta_section][\/vc_tta_tour][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"

      [vc_row][vc_column][vc_column_text] Also referred to as end-stage kidney disease, ESRD is the most advanced state of kidney disease, resulting in the need for ongoing hemodialysis to \u201cclean out\u201d toxins from the blood. This is more commonly referred to as just \u201cdialysis\u201d. Dialysis is performed through a dialysis access. Minimally Invasive Vascular offers […]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/mivascular.com\/wp-json\/wp\/v2\/pages\/190"}],"collection":[{"href":"https:\/\/mivascular.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mivascular.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mivascular.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/mivascular.com\/wp-json\/wp\/v2\/comments?post=190"}],"version-history":[{"count":2,"href":"https:\/\/mivascular.com\/wp-json\/wp\/v2\/pages\/190\/revisions"}],"predecessor-version":[{"id":725,"href":"https:\/\/mivascular.com\/wp-json\/wp\/v2\/pages\/190\/revisions\/725"}],"wp:attachment":[{"href":"https:\/\/mivascular.com\/wp-json\/wp\/v2\/media?parent=190"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}