Types of Dialysis Access in Bakersfield

You might be aware that you need to get access placed before receiving dialysis. It helps your blood to flow through soft tubes to the dialysis machine.

There are four types of dialysis access in Bakersfield. Out of which three types are for hemodialysis. Hemodialysis is a type of dialysis in which blood from your body is transported for cleaning. There are three ways to combat hemodialysis, such as;  

  • Central venous catheter (CVC)
  • Arteriovenous fistula (AV Fistula)
  • Arteriovenous graft (AV Graft)

The fourth type of access, Peritoneal catheter, is for peritoneal dialysis. In this case, the exchange of liquid and other substances occurs through the abdominal lining called the peritoneum.

Now, let’s look into each type-

  1. Central Venous Catheter (CVC)

Central Venous Catheter, also called a central line, is a Y-shaped plastic tube that your doctor will put in a large vein (blood vessel) in the chest, groin, or neck. It is generally used in a situation when your body needs hemodialysis immediately. So, your doctor will place it temporarily until permanent access is possible.

  1. Arteriovenous Fistula

The avascular specialist creates a surgical connection between an artery and a vein called AV fistula. Your doctor will place it in your arm, but he may position it in your leg in some cases. AV fistulas are best for long-term dialysis as they are less prone to infections and clotting.

  1. Arteriovenous graft (AV graft)

Generally, AV fistula is preferred. But in case your vein is too weak or too small, your doctor may recommend an AV graft that is a plastic tube connecting an artery to a vein. Your doctor may replace it with an AV fistula in the future when the veins gain strength.

  1. Peritoneal Dialysis Catheter

A peritoneal dialysis catheter, also called Tenckoff Catheter, is a soft tube that your doctor will insert into your abdominal cavity (space around the organs of your tummy). Your doctor will keep a small part of the tube outside the body. You or your caregiver will instill a sterile fluid to clean your blood inside the body. You can perform this at home. It may sound easy, but it has some shortcomings, such as you cannot take a bath till the time PD catheter is present, and chances of infection are also high compared to AV fistula and graft.


If you are suffering from renal disease, consult your doctor about the types of access and also discuss which one would be best in your case. 

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