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Peritoneal Dialysis Access and Vascular Access for Haemodialysis

Some patients with kidney failure will require dialysis. This can be either haemodialysis or peritoneal dialysis. In those patients having haemodialysis then this is best done via a fistula.

This requires an operation to join a vein to an artery usually under local anaesthetic. This allows the vein to become bigger with a significantly increased blood flow down it. The needles used for haemodialysis can then be more easily placed in the fistula and it also helps reduce the time needed for dialysis.

Not all patients have suitable veins to form a fistula and so a plastic tube maybe connected from the artery to a larger vein.

This is called a graft and does the same job as a fistula. This operation is usually done under a general anaesthetic. Fistulas and grafts are usually formed in the arms but the thigh may also be used.

We try to form a fistula prior to the start of dialysis. Some patients require dialysis to start prior to the fistula being formed or is fully working. In this case a line will be inserted in the neck to allow dialysis to take place. In most cases this is a temporary option.

An important part of the service is dealing with any problems with the access so that it will work for as long as possible. This may require further surgery but in most case can be solved by a procedure in the x-ray department. This procedure usually involves stretching up (angioplasty) any narrow areas (stenosis) in the fistula or graft.

For those patients who have opted for peritoneal dialysis then this requires a plastic tube being placed in the pelvis. This requires an operation usually done under a general anaesthetic with a small incision just below the belly button.

Clinic times

Renal Sorby Outpatients Department

Monday 9am to 12 pm
Wednesday 9am to 12 pm
Thursday 1:30 pm to 4:30 pm


Consultants

Consultant Position Special Interest
 Mr Ahmed Halawa  Consultant Surgeon Surgical formation and management of vascular and peritoneal access for haemodialysis and peritoneal dialysis
 Mr Chidambaran Nathan  Consultant Surgeon Surgical formation and management of vascular and peritoneal access for haemodialysis and peritoneal dialysis
 Mr Badri Shrestha  Consultant Surgeon Surgical formation and management of vascular and peritoneal access for haemodialysis and peritoneal dialysis
 Mr Simon Boyes  Consultant Surgeon Surgical formation and management of vascular and peritoneal access for haemodialysis and peritoneal dialysis
 Dr Nick Fardon  Consultant Nephrologist Insertion and management of tunnelled lines for haemodialysis
 Dr Peter Brown  Consultant Radiologist Radiological management of fistula/graft complication
 Dr Doug Turner  Consultant Radiologist Radiological management of fistula/graft complication
 Dr Mark Regi  Consultant Radiologist Radiological management of fistula/graft complication
 Dr Dan Kusuma  Consultant Radiologist Radiological management of fistula/graft complication


For more information about this service call 0114 2714847

Transplantation

Consultant Transplant Physician

  • Dr William McKane
  • Dr Simon Curran

Transplant Manager

  • Veronica Lennon

Living donor co-ordinator

  • Caroline Basarab-Horwath
  • Debbie Butlin

 

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