Kidney Disease and Renal Failure and Vascular Access

Kidney Disease and Renal Failure and Vascular Access for a patient 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 including upper arm vein preservation for future dialysis and other therapy.

Kidney Disease and Renal Failure

Kidney Disease and Renal Failure that is chronic 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.

Kidney Disease or Renal Failure

Human Kidney with cross section of inner organ

Kidney Disease or Renal Failure

Arteriovenous Fistula surgery for Dialysis Patient

Kidney Disease and Renal Failure Dialysis

Kidney Disease and Renal Failure Dialysis can be part of any treatment plan.  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.

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Learn how we provide quality, timely, and safe Vas Caths for Dialysis at the Bedside.

Kidney Disease and Renal Failure and Vascular Access

Vascular Access for a Dialysis Patient or a potential Dialysis Patient requires a clinician with Advanced Vascular Access skills and experience.  Patients with Kidney Disease and Renal Failure 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 PICC Lines 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

Veins must be Preserved for Treatment

Small Bore Internal Jugular Central Venous Line

Small Bore Internal Jugular Line avoids and preserves Veins & Arteries in the Upper Arms

Small Bore Internal Jugular Central Venous Catheter Line

Small Bore Internal Jugular Central Venous Catheter Line is the solution for upper arm vein preservation, with a Small Bore Femoral Central Venous Catheter Line and a Small Bore Axillary Central Venous Catheter Line as additional alternatives, all for vascular access.  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 – Safe Vascular Access for Kidney Disease and Renal Failure Patients

Vascular Wellness provides quality, timely, and Safe Vascular Access for Kidney Disease and Renal Failure Patients at the bedside.  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 PICC Lines and Midlines.  In fact, Vascular Wellness has placed over 15,000 Small Bore Internal Jugular Central Venous Catheter Lines with no insertion related infections.  Small Bore Central Lines allow patients to travel across any care setting including in the privacy of their home making these lines effective and efficient methods for Vascular Access.   

Small Bore Femoral Central Venous Line

Small Bore Femoral Line avoids and preserves Veins & Arteries in the Upper Arms

Vascular Wellness maintains a clean, sterile field for Vascular Access Lines segregating such Lines from the dirty, non-sterile side, for infection control and to help prevent infections

Vascular Wellness maintains a clean, sterile field for Vascular Access Lines segregating such Lines from the dirty, non-sterile side, for infection control and to help prevent infections

Vascular Wellness – Patient Treatment Team Contributor

Vascular Wellness serves as a valuable and trusted patient treatment team contributor for patients with Kidney Disease and Renal Failure.  We work closely with the Nephrologist to help ensure the right Vascular Access procedure is done and often, the Nephrologist either initially or after a short consultation with the Vascular Wellness clinician, prefers the Small Bore Internal Jugular Central Venous Catheter Line.  If a patient has a serum creatinine greater than 2 milligrams per deciliter, a GFR less than 44, or only one kidney due to congenital history, carcinoma, or other renal injury, Vascular Wellness will not place a PICC or Midline without a documented medical order from the Nephrologist or other appropriate medical doctor.  Placing different small bore lines at the bedside are just some of the many ways in which Vascular Wellness provides a superior, comprehensive Vascular Access Solution.  We have the tools and training to provide the right Vascular Access at the Right Time, the First Time.

Need More than a PICC Service?

We offer timely, innovative, and advanced vascular access services at the bedside, with full administrative support, from skilled employees who care.

Want more than just a PICC Service or PICC Team?
Email us below or call 877-284-4435.
We are Vascular Access Specialists and here to help and answer your questions.

Let us be part of your trusted Healthcare Team.

Vascular Wellnesssm provides clinical vascular access nursing services at the bedside across the Southeast to a diverse client base including Tertiary Hospitals, Community Hospitals, Long Term Acute Care Hospitals, Skilled Nursing Facilities, Surgical and Outpatient Centers,  Hospice, and At-Home care.

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Vascular Wellness
151 Quarrystone Circle
Suite 112
Cary, NC 27519
919-226-3694

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877-284-4435

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