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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Fistula In Arm Not Working, So How To Continue Dialysis?

What happens when they can no longer find a place to put the port for dialysis? My friend is 57 years old and weighs between 69 and 80 pounds. She is in poor health. She is an alcoholic, has an eating disorder and has just suffered from one of those broken heart attacks. Now the fistula in her arm where they do dialysis is no longer working and the doctors said that was the last place they could use. She is in ICU at a local hospital and they are temporarily giving her dialysis through the chest. What will happen now???
Wed, 26 Feb 2014
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Urologist 's  Response
Hi,
I can understand your concerns. Please be assured that there are other ways of doing the dialysis. These include:
1. Putting a permanent catheter through a neck vein. This is inserted under the skin in upper chest and neck area.
2. Using surgical techniques called transposition of vein or using a synthetic graft (artificial tube) to create a fistula in the arm.
3. Using peritoneal dialysis - inserting a tube into the abdomen and doing dialysis by filling and emptying abdomen periodically using dialysis fluid.
I am available to guide you further if you need any clarification.
Wish your friend a speedy recovery from the current condition and good health,
Dr. Raguram.
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Fistula In Arm Not Working, So How To Continue Dialysis?

Hi, I can understand your concerns. Please be assured that there are other ways of doing the dialysis. These include: 1. Putting a permanent catheter through a neck vein. This is inserted under the skin in upper chest and neck area. 2. Using surgical techniques called transposition of vein or using a synthetic graft (artificial tube) to create a fistula in the arm. 3. Using peritoneal dialysis - inserting a tube into the abdomen and doing dialysis by filling and emptying abdomen periodically using dialysis fluid. I am available to guide you further if you need any clarification. Wish your friend a speedy recovery from the current condition and good health, Dr. Raguram.