Kidney Disease and Renal Failure
Vascular Access for a patient with Kidney Disease or Renal Failure or who is or may be a Dialysis Patient requires the Clinician to evaluate additional facts and data. This page describes important factors for the Vascular Access Clinician to consider.
Chronic Kidney Disease or Renal Failure
Chronic Kidney Disease or Renal Failure is the malfunction of the kidneys causing the kidneys to lose their filtering ability. As a result of kidney disease, kidney failure or kidney injury, waste accumulates in the body and the body’s chemical balance gets disrupted. Symptoms of Kidney Disease and Renal Failure include fluid retention, fatigue, shortness of breath and decreased urine output.
Human Kidney with cross section of inner organ
Arteriovenous Fistula surgery for Dialysis Patient
Kidney Disease Treatment – Dialysis
Kidney Disease Treatment can consist of Dialysis. In order for permanent dialysis to be done, a vascular surgeon will connect a patient’s vein and artery so that the dialysis machine can attach directly to the patient’s bloodstream. This is called Arteriovenous fistula (AV), meaning an abnormal connection between an artery and vein, which in the case of dialysis, is monitored by a patient’s doctor.
Vascular Access – Dialysis Patient
Vascular Access for a Dialysis patient or a potential Dialysis patient requires advanced Vascular Access skills and experience. Patients with Kidney Disease tend to have stenosis of the veins, meaning the thickening, hardening, stiffening, and narrowing of the veins. Between this and AV surgery, described above, a Dialysis patient requiring Vascular Access has special needs; primarily, the need to preserve veins. According to the Kidney Disease Outcomes Quality Initiative (KDOQI) Vascular Access Guidelines, by avoiding PICCs and Midlines and other Vein Punctures in the upper extremities (ie, upper arm), the life of the patient can be extended by 5-7 additional years. Veins are not renewable resources and in the renal population, (a) veins and arteries in the upper extremities must be preserved and (b) any AV surgery and connection between an artery and vein must not be disturbed so that it can used and access as long as possible – which is usually up to 3 times/week.
Veins must be Preserved for Treatment
Small Bore Internal Jugular Line or Femoral Line avoids and preserves Veins & Arteries in Upper Arms
Small Bore Internal Jugular Central Venous Catheter Line
Small Bore Internal Jugular Central Venous Catheter Line is the solution, with a Small Bore Femoral Central Venous Catheter Line and a Small Bore Axillary Central Venous Catheter Line as additional alternatives. These central catheter lines preserve veins and arteries in the upper arms, enable future AV Fistula surgery, and do not disturb any current AV surgical connection between the vein and artery in the arm.
Vascular Wellness – Patient with Kidney Disease
Vascular Wellness clinicians have enabled Vascular Access for many dialysis patients. Vascular Wellness has the experience and expertise to place small bore central catheter lines at similar very high success rates and zero insertion related infections as we do with PICCs. In fact, Vascular Wellness has placed over 15,000 Small Bore Internal Jugular Central Venous Catheter Lines with no insertion related infections. Unlike Large Bore Central Venous Lines, Small Bore Central Venous Lines allow the patients the travel across any care setting including in the privacy of their home.
Small Bore Central Venous Lines allow the patients the travel across any care setting
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Vascular Wellnesssm provides vascular access clinical nursing services at the bedside across the southeast to a diverse client base including hospitals, long term acute care centers, surgical and outpatient centers, skilled nursing facilities, and at-home care.
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Service Hours extend 2+ hours after Dispatch
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Saturday-Sunday: 8am - 3pm
Holidays: 8am - 1pm