Overview:
End-stage kidney disease occurs when the kidneys lose nearly all function and can no longer effectively remove waste and extra fluid from the body. This can lead to serious health complications, including fluid buildup, high blood pressure, and imbalances in important nutrients. Symptoms often include fatigue, swelling, nausea, and difficulty concentrating. Managing this condition requires ongoing medical care to help control symptoms and maintain overall health. Early diagnosis and regular monitoring can help slow progression and improve quality of life.
Symptoms:
- Severe fatigue and weakness
- Swelling in the legs, feet, or face
- Persistent nausea or loss of appetite
- Trouble breathing or sleeping
- High blood pressure not controlled with medication
Treatments / Procedures:
Dialysis Access Procedures (Performed by Vascular Surgery):
These procedures create and maintain access points needed for dialysis treatment.
- Arteriovenous (AV) Fistula Creation – A surgical connection between an artery and a vein, considered the gold standard for long-term dialysis access.
- Arteriovenous (AV) Graft Placement – A synthetic tube connects an artery and a vein when natural vessels are not suitable for a fistula.
- Dialysis Catheter Placement – A catheter inserted into a central vein for short- or long-term hemodialysis access.
Access Maintenance and Support (Provided by Interventional Nephrology):
Our interventional nephrologists provide specialized procedures to ensure that dialysis access sites remain functional and complication-free.
- Fistula and Graft Evaluation – Imaging and testing to assess access to health and performance.
- Access Site Maintenance and Repair – Minimally invasive procedures to treat clots or narrowing in dialysis access sites.
- Peritoneal Dialysis Catheter Placement – Insertion of a catheter for patients receiving peritoneal dialysis at home.
Transplant-Related Procedures:
These services support evaluation and readiness for kidney transplant:
- Kidney Transplant Evaluation – A series of tests to determine transplant eligibility.
- Living Donor Kidney Transplant – Receiving a kidney from a living donor often offers better outcomes.
- Deceased Donor Kidney Transplant – Transplantation from a deceased donor.
- Pre-Transplant Care – Ongoing medical care to manage kidney function while awaiting a donor.