Dr LiangVascularFemale Vascular Surgeon
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Additional Vascular Expertise

Dialysis Access Care Guide

A dialysis access needs ongoing care from creation to daily checks, stenosis treatment and urgent salvage. Learning its usual thrill makes it easier to notice problems early.

Clinical Pathways

Find the information you need

Existing clinical education is organised by the questions patients commonly ask. The medical content and article URLs remain unchanged.

Planning an Access

When should you start planning a dialysis fistula?

Use kidney-function trajectory, 2-year risk and vascular anatomy to plan before dialysis becomes urgent.

Daily Checks & Care

Check the access thrill every day

Do not wait if the thrill weakens or disappears.

Daily dialysis access care

Look, feel and notice changes every day.

Stenosis & Treatment

Does a narrowed access need angioplasty?

Assess the thrill, dialysis performance and ultrasound together.

Changes That Need Attention

Why Is My Dialysis Access Arm Swollen?

One-sided access-arm swelling may be related to narrowed venous outflow.

Is your dialysis access taking longer to stop bleeding?

Consider bleeding time together with the thrill, dialysis flow and ultrasound.

Clinical Perspective

What I want patients to know

  • A continuous gentle thrill is usually expected.
  • An absent thrill, sudden swelling, cold painful fingers or infection needs prompt assessment.
  • Do not allow blood pressure measurement or blood draws from the access arm.
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