For patients with chronic kidney disease (CKD) or end-stage renal disease (ESRD), dialysis becomes a vital treatment. However, the success and safety of dialysis depend heavily on one key factor—reliable vascular access. This is where Dialysis Access Procedures come into play. Dr. Palkesh Agrawal, a skilled cardiovascular and thoracic surgeon, offers expert care in creating and maintaining dialysis access, ensuring that patients receive effective, long-term treatment with minimal complications.
What Is Dialysis Access?
Dialysis access refers to the site on the body where blood is removed, filtered, and returned during dialysis. There are three main types of dialysis access:
- Arteriovenous (AV) Fistula: A surgical connection between an artery and a vein, typically in the arm.
- Arteriovenous (AV) Graft: A synthetic tube used to connect an artery and a vein when veins are too small for a fistula.
- Central Venous Catheter (CVC): A temporary solution, where a catheter is inserted into a large vein, usually in the neck or chest.
Each method has its advantages and specific indications. Dr. Agrawal evaluates each patient’s vascular health and long-term dialysis needs to determine the most appropriate access type.
Why Is Expert Surgical Access Important?
Improper or delayed access can lead to infections, clotting, or inadequate dialysis—all of which can seriously compromise a patient’s health. Having access placed by a vascular specialist like Dr. Agrawal reduces these risks and improves patient outcomes. His expertise ensures:
- Minimal complications
- Faster healing and maturation of AV fistulas
- Optimal function for high-efficiency dialysis
- Ongoing monitoring and interventions, if needed
AV Fistula: The Gold Standard
AV fistulas are generally preferred due to their durability and low complication rates. However, they require time to mature (usually 6–12 weeks). Dr. Agrawal carefully assesses vein quality through ultrasound mapping before surgery, ensuring the fistula will work effectively once matured.
AV Grafts: An Alternative for Challenging Veins
When veins are unsuitable for a fistula, an AV graft may be used. It offers quicker usability (within 2–3 weeks) and is also surgically placed under the skin. Though it carries a higher infection and clotting risk than a fistula, proper technique and follow-up care by Dr. Agrawal help reduce these issues.
Central Venous Catheter: Temporary but Critical
CVCs are used when dialysis must begin immediately. They’re not ideal for long-term use due to the risk of infection and venous scarring. Dr. Agrawal uses them with caution, often as a bridge until a permanent access site is ready.
Ongoing Access Management and Care
Dialysis access is not a one-time procedure. Regular maintenance is necessary to keep the site functional. Dr. Agrawal’s team provides:
- Surveillance of the access function
- Interventions like angioplasty or thrombectomy if blockages occur
- Replacement or revision surgeries if needed
This comprehensive approach ensures the patient’s dialysis journey remains smooth, safe, and effective.
Why Choose Dr. Palkesh Agrawal?
Dr. Agrawal brings years of experience in vascular and thoracic surgery, with a focus on minimally invasive techniques, infection prevention, and long-term access sustainability. His patient-centric approach ensures:
- Personalised access plans
- Prompt surgical scheduling
- Coordination with nephrologists and dialysis centres
- Compassionate pre- and post-operative care
Take the First Step Towards Safer Dialysis
If you or a loved one requires dialysis access, timely and expert care is essential. With Dr. Palkesh Agrawal, you're not just getting a procedure—you’re getting a long-term partner in your kidney care journey. Book your consultation today and take the first step towards a healthier circulatory system.
