
Conditions and procedures
- Native AV fistula creation
- AV graft placement
- Tunneled dialysis catheter
- Access revision and salvage
- Aneurysm, infection and hand-ischaemia care
Conditions
Dialysis access planning; maturation failure; stenosis/thrombosis; infection/aneurysm; hand ischaemia/high flow.
Assessment
Kidney-care plan, vessels/prior procedures; examination, duplex mapping and access-performance assessment.
Treatment options
AV fistula; AV graft; tunneled catheter; access salvage/revision; infection/aneurysm/ischaemia treatment; long-term infusion ports.
Follow-up
Know the usual thrill; protect arm from pressure, blood draws/BP cuffs; clean dry dressings; dialysis reviews.
Common questions
Best access/readiness? Depends on the plan, vessels and clinical/ultrasound maturation. Some failing accesses can be salvaged.
When to seek help
Missing thrill, persistent bleeding, painful cold hand, fever/pus: urgent team contact or emergency care.
This is general information. Investigations and treatment require individual assessment. Do not wait for a routine booking if symptoms are sudden or severe.
