Things You Need to Know About Renal Failure and Dialysis
Dialysis is a process used to treat patients whose kidneys are no longer working properly. It involves a special machine and tubing that removes blood from the body, cleanses it of waste and extra fluid and then returns it back to the body.
To undergo dialysis, a physician first creates access to a patient’s blood vessel using one of three methods:
- a fistula, which is made by joining together an artery and vein to make a bigger high-flow blood vessel.
- a graft, in which a soft plastic tube is placed between an artery and a vein, creating an artificial high-flow blood vessel.
- Catheter access, in which a narrow plastic tube is inserted into a large vein in the neck or groin.
When fistulas and grafts become clogged or narrowed, which can prevent a patient from undergoing successful dialysis, interventional radiologists use image-guided interventions to solve the problem:
- Catheter-directed thrombolysis, which dissolves blood clots that build up in fistulas and grafts by injecting a medicine.
- Angioplasty and stenting, which uses mechanical devices, such as a balloon, to open fistulas and grafts and helps them remain open with a small implantable wire mesh tube called a stent.
Take a look at the common risks, predispositions, and signs/symptoms, then read up on some of the testing and procedures Dr. Hollander can perform for you using comfortable,minimally invasive, state-of-the-art equipment and techniques:
Use of some pain relievers (like aspirin and ibuprofen)
Aging (most common over the age of 64)
Race (more prevalent in Native Americans, Asian Americans and African Americans)
Excess exposure to some toxins
Hypertension (high blood pressure)
Existing Heart Disease
Peripheral Arterial Disease (PAD)
Sickle Cell disease
Excess Blood Cholesterol
Lupus and other autoimmune disorders
Shortness of breath
Blood in the urine
Edema of the arms (swelling)
Increase Pressures at Dialysis
Acute or Chronic Thrombosis
Reduced Quality of Dialysis
Difficult Cannulation Central Venous Occlusion (CVO)
Other services provided:
- Erectile Dysfunction (achieving and maintaining an erection)
- Uterine Fibroid Embolization
- IVC filter placement/retrieval
- Kyphoplasty for intractable back pain related to spine fracture
- Full range of interventional radiological procedures available upon request