Dialysis Access
AV fistula and AV graft creation, follow-up, and management of access complications in Mombasa, Kenya.
Dialysis Access – FAQs
What is dialysis access?
Dialysis access is a surgically created route that allows blood to be removed and returned safely during hemodialysis.
What types of dialysis access are available?
The main types are an AV fistula, an AV graft, and a dialysis catheter. AV fistulas and grafts are preferred for long-term dialysis.
Which dialysis access is best?
An AV fistula is usually best because it lasts longer and has fewer infections and complications compared to catheters.
When should dialysis access be created?
Ideally weeks to months before dialysis starts to allow time for healing and maturation.
What problems can occur with dialysis access?
Complications can include infection, narrowing (stenosis), clotting, poor flow, bleeding, or arm swelling. Early review helps prevent access failure.