Peritoneal Dialysis Treatment Coming Soon!
Peritoneal Dialysis Treatment Coming Soon!
Vascular access
Vitality Dialysis is pleased to accept all four vascular access types for home dialysis treatment: AV Fistula, AV Graft, CVC (catheter), PD catheter. In alignment with the National Kidney Foundation's KDOQI guidelines for vascular access, we support and promote the right access for the right patient at the right time and for the right reason.
AV Fistula (AVF)
An AV fistula (AVF) is a type of hemodialysis access involving the direct connection between an artery and a vein. Blood flows from the artery and travels directly into the vein, enlarging the vessel and enabling it to be used for hemodialysis treatment. AV fistulas are created using either an open surgical technique or a closed non-surgical technique known as an endovascular or percutaneous procedure.
Once created, an AV fistula must "mature" prior to use. This maturation period often takes 8-10 weeks.
When the AV fistula is ready for use, two (2) needles will be inserted into the fistula vein each treatment. One needle removes (pulls) blood from the body while the other needle returns blood back into the body after it has traveled through the dialyzer.
AV fistulas are generally considered the safest of the three (3) hemodialysis access types.
AV Graft (AVG)
An AV graft (AVG) is a type of hemodialysis access involving the facilitated connection between an artery and a vein using a synthetic tube (graft). Blood flows from the artery, travels through the graft, and continues directly into the vein. AV grafts are inserted using an open surgical technique.
Some types of AV grafts can be used immediately after surgical insertion, others must undergo a timeframe to heal and settle. Ask your physician about the specifics pertaining to your AV graft.
When the AV graft is ready for use, two (2) needles will be inserted into the graft each treatment. One needle removes (pulls) blood from the body while the other needle returns blood back into the body after it has traveled through the dialyzer.
Central Venous Catheter (CVC)
A central venous catheter (CVC) is a type of hemodialysis access involving a tube (catheter) that is inserted into a large central vein (jugular, subclavian, femoral) with one end remaining inside the patient and the other end split into two (2) connection ports used for hemodialysis. CVCs can be tunneled or non-tunneled, depending on the plan of care for the patient.
Needles are not used for hemodialysis access connection with a CVC.
CVCs historically have the highest risk of infection among the three (3) hemodialysis access types.
Peritoneal Dialysis (PD) Catheter
A peritoneal dialysis (PD) catheter is a soft, flexible tube surgically placed into the abdomen to allow for peritoneal dialysis. It provides access to the peritoneal cavity, where dialysis fluid (dialysate) is infused, allowing waste, toxins, and excess fluids to be removed from the body through the peritoneal membrane.
The catheter typically has a cuffed design to help secure it in place and reduce infection risk. It remains in the abdomen for long-term use and requires proper care to prevent complications such as peritonitis or catheter blockage.
PD catheters can be used for urgent dialysis starts in certain situations.
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