Read this information so you understand the procedure and its risks. Please ask questions about anything you do not understand.
There are two types of permanent vascular access for dialysis: arteriovenous (AV) fistula and arteriovenous (AV) graft. A surgeon creates an AV fistula by connecting an artery directly to a vein, most commonly in the forearm. Alternatively, a surgeon creates an AV graft by connecting an artery to a vein using a synthetic tube or graft.
Sometimes the blood flow from an AV fistula or AV graft becomes too low due to a narrowing, a blood clot, or the formation of a collateral (accessory) blood vessel that is diverting blood flow.
An interventional radiologist can correct these problems with fistula intervention or graft intervention.
Using live X-ray (fluoroscopy) for guidance, the doctor will insert a catheter (a tiny tube) into a vein or artery, usually in the arm or leg, and guide it to the fistula or graft.
Then one of three things will happen:
The procedure is considered low-risk. However, potential complications include:
No. Depending on your child’s medical history, we will give either intravenous sedation or general anesthesia.
Your child will be taken to a recovery room and in some cases may be admitted to the hospital for observation. Your child might have some mild discomfort; you may give over-the-counter pain medication if permitted by your primary physician.
The bandage must stay dry and in place for 48 hours. You may sponge-bathe your child during this time, as long as the bandage stays dry. After 48 hours you may remove the clear bandage and gauze and your child can take a shower or take a bath, as long as the site isn’t immersed in water. Leave the Steri- Strips® (white strips) in place. Do not immerse the site in water until the Steri-Strips fall off. If they haven’t fallen off after seven days, you may remove them.
Your child may return to normal activity as tolerated.