Specialized Care for Your Fistula Flow
What Is
Aortic disease refers to any condition that affects the Aorta, the largest and most vital artery in the body. The aorta carries oxygen-rich blood from the heart to the rest of the body. When the aorta becomes damaged or weakened, it can lead to life-threatening complications.
A fistula blockage happens when the blood flow through the dialysis fistula is partially or completely blocked
What Are
The most prevailing cause of the blockage of the fistula is stenosis. According to the research and recent surveys, it is evident that 78% of early AV fistula failures are associated with stenosis.
What Are
Various factors can increase the risk of developing blockage in Fistula. Individuals at higher risk typically include:
Constant puncturing of the same area can cause scarring and narrowing of the vein.
Sudden drops in blood pressure can slow down blood flow in the fistula and increase the risk of clot formation.
Reduces overall blood volume and flow, especially during or after dialysis, increasing clot risk.
Damages blood vessels and slows healing, making patients more vulnerable to blockages and infections.
Not checking for thrill (vibration), applying pressure incorrectly, or wearing tight clothes over the fistula arm can lead to complications.
Damages blood vessels and increases the risk of clot formation.
Dialysis fistula blockage is treated by first doing a Fistulogram to find the blockage. If narrowing is found, a Balloon Angioplasty is done to widen the vessel, and sometimes a Stent is placed. If a clot is present, a Thrombectomy is used to remove it. In severe cases, Surgery may be needed to repair or create a new fistula. A Temporary Dialysis Catheter may be used if the fistula can’t be accessed right away. Regular monitoring and proper care help prevent future blockages.
You may notice a weak or absent “thrill” (vibration), swelling, pain, or trouble during dialysis. Your dialysis team may also detect low blood flow.
Yes. It can stop dialysis or cause swelling and discomfort. Prompt treatment is important to restore blood flow and avoid complications.
Most treatments like angioplasty or clot removal are minimally invasive and done as day-care procedures. You can often go home the same day.
Regular monitoring, good needle technique, checking the thrill daily, and avoiding pressure on the arm can help prevent blockage.
A temporary dialysis catheter may be placed to continue dialysis while your fistula is treated or a new one is created.
