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Dr Abdul Rahman Hamad

Vascular & Dialysis Access

Individualized planning, creation and maintenance of reliable vascular access for dialysis and long-term therapies.

Illustrative image of a patient receiving dialysis with an arteriovenous fistula diagram

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.

Medical information

This is general information. Investigations and treatment require individual assessment. Do not wait for a routine booking if symptoms are sudden or severe.

Further reading

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