Haemodialysis
Treatments
What is Dialysis Access Surgery?
Dialysis access surgery is a specialised procedure performed by vascular surgeons like Dr MZ Shaik to create a durable and reliable point of access for haemodialysis.
Haemodialysis is a life-sustaining treatment for patients living with kidney failure. This surgical access is crucial for individuals whose kidneys are no longer able to adequately filter waste products and excess fluid from the blood.
By establishing this stable access, haemodialysis can be performed effectively to remove toxins and manage fluid levels, thereby replicating the essential functions of the kidneys
When is Dialysis Surgery Indicated?
Dialysis access surgery is required when a patient’s kidney function has deteriorated to the point that haemodialysis is necessary to maintain their health and wellbeing.
This situation typically arises from chronic kidney disease, but it can also be the result of an acute kidney injury or other medical conditions that impair kidney function. Furthermore, patients who are waiting for a kidney transplant often need dialysis access to serve as a vital ‘bridge’ therapy until a suitable donor organ is found.
Dr MZ Shaik will conduct a thorough assessment of each patient’s medical history, current kidney function, and overall vascular health to decide the optimal timing and type of access required.
What does Dialysis Surgery Entail?
Dialysis access surgery involves several different procedures designed to create a long-lasting vascular access point for haemodialysis. Dr MZ Shaik utilises a range of techniques to suit individual patient needs.
These include the creation of an arteriovenous (AV) fistula, which connects an artery directly to a vein, or the placement of an arteriovenous (AV) graft, which uses a synthetic tube to connect the artery and vein.
In cases where long-term access is not immediately feasible or required, a central venous catheter, such as a Permcath, may be placed.
Treatments
Creating and maintaining reliable access for kidney dialysis:
- Arteriovenous (AV) Fistulae: Connecting an artery directly to a vein, considered the gold standard for dialysis access
- Arteriovenous (AV) Grafts: Using synthetic material to create a connection when direct fistula isn’t possible
- Tunneled Catheters: Placement and management of central venous catheters
- Access Maintenance: Interventions to preserve function of existing access sites
FAQ
Frequently Asked Questions
Peripheral Arterial Disease
Peripheral arterial disease (PAD) occurs when narrowed arteries reduce blood flow to your limbs, typically the legs. Dr Shaik offers:
- Endovascular Procedures: Minimally invasive techniques including:
- Balloon angioplasty
- Stent placement
- Atherectomy (plaque removal)
- Open Bypass Surgery: Creating alternative routes for blood flow using either synthetic grafts or your own veins when endovascular approaches aren’t suitable
FAQ's
Frequently asked questions
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