Where is dialysis catheter

An AV fistula is most often created in your non-dominate arm, but sometimes it can be created in your leg. This access results in an increased blood flow rate through the vein, which helps enlarge and strengthen the vein.

An AV fistula allows a higher rate of blood to flow back and forth from your vein to a dialysis machine. Once the AV fistula creation is complete, you will need to wait several months before it can be used so it can fully heal and mature. While an AV fistula is generally considered the best access option, it also has some disadvantages.

Advantages Can function for years Not as likely as a catheter to become infected Not as likely to clot Disadvantages May require another temporary type of access during the healing and maturation phase Maturation may be delayed, or it may fail to mature Needles are required to access the AV fistula for hemodialysis.

The third type of access, called an AV graft, functions similarly to an AV fistula. If you have blocked or damaged veins, or veins that are too small for a fistula, you may be a candidate for an AV graft. AV graft placement is also a surgical procedure, but instead of connecting the artery directly to the vein, one end of a small hollow, synthetic tube will be connected to your vein, and the other end will be connected to your artery.

Just like with an AV fistula, you will need to care for your graft every day, so remember to look, listen and feel for the same indicators used with a fistula. You will need to rest after the procedure and should avoid strenuous activity for several days.

Your doctor will instruct you on any specific limitations to your daily activity. You may have some swelling or bruising at the sight of the catheter. In most cases over-the-counter pain medications can help with this. You should talk to your physician if you experience any discomfort after the procedure.

Your doctor will give you specific instructions about caring for the catheter. The most important thing to keep in mind is that the site must be kept clean and dry.

You will not be able to shower for about a week after the procedure. After a week you can shower but you will be required to cover the catheter with plastic to keep it dry.

Your doctor may suggest cleaning the area with antibacterial cleaners, such as peroxide, and applying antibiotic cream to the area. In addition, your doctor may give you instructions about cleaning the catheter with solution to keep any clots from forming and causing blockages.

You should call your doctor if you have any problems with the catheter or if you have any bleeding, fever, increased swelling or drainage at the catheter insertion site. There are things you can do to make your experience more comfortable, and many of these will depend on your individual preferences. The caps and the clamps of your catheter should be kept tightly closed when not being used for dialysis. Only your care team should use your dialysis catheter to draw blood or to give medications or fluids.

If the area around your catheter feels sore or looks red, call your dialysis care team at once. Ask your dialysis team about signs and symptoms that require immediate attention. If your numbers are too low, one possible cause may be that your access is not working well. Ask your dialysis team to check your access.

Should I have any concerns about my catheter? Sometimes, even when you are very careful, your access may clot or become infected. The signs and symptoms of a catheter infection include: Fever Chills Drainage from the catheter exit site Redness or tenderness around the catheter exit site General feeling of weakness and illness Treatment depends on the type of infection but may include: An ointment applied directly to the infected area if it is an exit site infection.

Antibiotic medication if there is drainage from the exit site. An intravenous IV antibiotic a solution containing an antibiotic that is administered directly into a vein if the infection has spread to the blood. What happens when my catheter is not working well? What can be done to remove the blockage from my catheter?

How is medication given? What are the benefits of treating the clot early? By restoring your blood flow, hemodialysis can work as it should to remove the toxins and excess fluids from your body. Taking care of the clot early results in fewer treatment interruptions and improved quality of life on dialysis. Other benefits are the prevention of additional health problems and the chance to live longer on dialysis. What can I do to keep my catheter working well?

Learn as much as possible about your prescribed treatment plan: your blood flow rate, how often and how long you need treatments. Follow the treatment plan Stay for your full treatment time Keep your dialysis appointments Arrive on time for your hemodialysis treatments Ask your doctor how much dialysis you should be getting.

Talk to your dialysis team if your numbers are not as good as they should be. Share your concerns with your doctor and dialysis team. We used subclavian veins only in 11 1. This low incidence may show favorable approach of an invasive nephrology clinic. The low complication rate in the present study may be related to the use of internal jugular veins preferentially, experience of the staff and use of US. US guided replacement of the catheter to the internal jugular vein would decrease complication rate.

Referral to invasive nephrologists may decrease subclavian vein usage for catheter placement. Experience in practice at catheter placement improves complication rates even under US guidance. This is an open access article distributed under the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Article of the Year Award: Outstanding research contributions of , as selected by our Chief Editors.

Read the winning articles. Journal overview. Special Issues. Received 13 Feb Revised 17 Jul Accepted 18 Jul Published 26 Aug Abstract Aims. Introduction Vascular access has prime importance in patients on hemodialysis HD. Material and Methods The patients who needed urgent HD or had dysfunction of the current vascular access while on chronic HD program and have been implanted a catheter by the nephrology practitioners in our clinic between March and December have been included in this retrospective study.

The Choice of the Vein Right internal jugular vein anterior or central approach was the preferred site among patients who would have the first dialysis session if not orthopneic and had no bleeding diathesis.

Catheterization Technique Ultrasound guidance was used mostly for insertion of permanent catheters to internal jugular veins. Results A total of patients [ Anatomic locations Number and percentage of patients Side Temporary catheter Permanent catheter Total Internal jugular vein Table 1. Table 2. References J. Tordoir, B. Canaud, P.

Haage et al. S—S, View at: Google Scholar Y. Ori, A. Korzets, M. Katz et al. Bay, S. Van Cleef, and M. Rayner, R. Pisoni, B. Gillespie et al. Rayner, A.

Besarab, W. Brown, A. Disney, A. Saito, and R. S22—S26, Weijmer, M. Vervloet, and P. Oguzkurt, F.