Types of Dialysis Access Management
To receive dialysis, Dr. Gerges must first establish access. The I-Vascular Centers of El Paso, San Antonio, and Abilene all provide several options for Dialysis Access Management, including:
Arteriovenous Fistulas (AV Fistulas) are the most popular type of dialysis access. This type of treatment, known as a fistulogram, involves Dr. Gerges making a surgical connection between an artery and a vein.
This increases blood flow through the vein, helping enlarge and strengthen it. An AV fistula allows for healthy blood flow between your body and the dialysis machine.
An Arteriovenous Graft (AV Graft) is a prosthetic that Dr. Gerges uses to connect a vein to an artery. If your veins are too small for an AV fistula, you might benefit from an AV graft. Though safe, AV grafts present a risk of infection and typically close more quickly than AV fistulas.
Central Venous Catheter
A central venous catheter (CVC) is a flexible plastic tube inserted into your skin through a vein in your neck, groin, or chest. CVCs are typically used in emergencies because they present a high risk of infection.
If you need to undergo dialysis several times during the day, Dr. Gerges might recommend peritoneal dialysis. This type of treatment uses a clear tube, called a catheter, to direct dialysate cleansing fluid through a small hole in your abdomen and then waste fluid is drained through the same opening.
What type of Dialysis Access Management is right for me?
To determine the type of dialysis access management that’s right for you, Dr. Gerges reviews your medical history, conducts a physical exam, and asks questions about the severity of your kidney disease and lifestyle. After gathering the necessary information, he develops a custom treatment plan that aligns with your individual needs.
What if I have dysfunctional dialysis access?
Dr. Gerges can successfully treat dysfunctional dialysis access on-site, using safe and effective minimally-invasive procedures. Depending on your health history and specific needs, he might recommend one of the following treatments:
- Angioplasty – a balloon is inflated inside of a blood vessel to expand it and increase blood flow. In some instances, once the balloon is removed, a stent may be placed inside to prevent the blood vessel from closing.
- The MILLER procedure for Steal syndrome – the access is adjusted to the proper size to restore proper blood flow to the hand by using an angioplasty balloon and then banding the access.
- Thrombectomy – removal of blood clots.
All of these procedures are outpatient, allowing you to return home on the same day of your appointment. Additionally, Dr. Gerges communicates results promptly to your dialysis care team, ensuring continuity of care.
To learn more, schedule a Dialysis Access Management appointment by calling 915-855-6508 for El Paso, 210-481-9544 for San Antonio, 325-268-4040 for Abilene, or by clicking the button below.
Next to Davita/El Paso Kidney
11989 Pellicano Dr., Suite D
El Paso, TX 79936
Medical Park at Stone Oak
San Antonio, TX 78258
Hendrick Health #1
6300 Regional Plaza, #475
Abilene, TX 79606