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Dialysis Access Management Specialist

I-Vascular Center

Anwar S. Gerges, MD

Vascular Center & Vein Specialist located in El Paso, TX & San Antonio, TX

If you’re living with chronic kidney disease, dialysis access management makes it possible to clean and filter your blood while waiting for a transplant. Vein and vascular surgeon Anwar S. Gerges, MD, and his team provide dialysis access management on-site at three convenient Texas locations in San Antonio, El Paso, and Abilene. Book a consultation.

Dialysis Access Management Q & A

What is dialysis access management?

If you have severe kidney disease or your kidneys fail, you need dialysis therapy to clean and filter your blood. Dialysis access management is an in-office procedure that prepares you to receive dialysis. 

What are the types of dialysis access management?

To receive dialysis, Dr. Gerges must first establish access. There are several options for dialysis access management, including:

Central venous catheter

A central venous catheter (CVC) is a flexible plastic tube inserted into your skin through a vein in your neck, groin, or chest. CVC’s are typically used in emergencies because they present a high risk of infection.

AV fistula

AV fistulas are the most popular type of dialysis access. This type of treatment involves Dr. Gerges making a surgical connection between an artery and a vein.

This increases blood flow through the vein, helping enlarge and strengthen it. An AV fistula allows for healthy blood flow between your body and the dialysis machine.

AV graft

An AV graft is a prosthetic that Dr. Gerges uses to connect a vein to an artery. If your veins are too small for an AV fistula, you might benefit from an AV graft. Though safe, AV grafts present a risk of infection and typically close more quickly than AV fistulas.

Peritoneal dialysis

If you need to undergo dialysis several times during the day, Dr. Gerges might recommend peritoneal dialysis. This type of treatment uses a clear tube, called a cannula, to direct blood through a small hole in your abdomen.

What type of dialysis access management is right for me?

To determine the type of dialysis access management that’s right for you, Dr. Gerges reviews your medical history, conducts a physical exam, and asks questions about the severity of your kidney disease and lifestyle. After gathering the necessary information, he develops a custom treatment plan that aligns with your individual needs.

What if I have dysfunctional dialysis access?

Dr. Gerges can successfully treat dysfunctional dialysis access on-site, using safe and effective minimally invasive procedures. Depending on your health history and specific needs, he might recommend angioplasty with or without stenting, the MILLER procedure for Steal syndrome, or the removal of blood clots (thrombectomy).

All of these procedures are outpatient, allowing you to return home on the same day of your appointment. Additionally, Dr. Gerges communicates results promptly to your dialysis care team, ensuring continuity of care. 

To learn more, schedule a dialysis access management appointment at i-Vascular Center. Book a consultation online, or call the nearest office today.