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CHAPTER 4






               o perform haemodialysis, an access
              must be created. An access is a site
        Tfrom which blood can be safely
                                                       ONE PATIENT REPORTED:
        removed and returned to your body. The
        access site is often referred to as your         “I’ve had my fistula for 22
        ‘lifeline’.                                     years – the entire time I’ve
           There are two main types of                been on dialysis. I make sure to
        haemodialysis access - anteriovenous           take care of it because it’s my
        fistula and central venous catheters.
                                                        ‘lifeline’ and it allows me to
                                                              receive dialysis.”
        PERMANENT ACCESS OPTIONS                                                                    ACCESS FOR HAEMODIALYSIS
           The  arteriovenous or AV fistula is a
        type of vascular access, involving a direct
        connection between an artery and a vein.
        This connection is made underneath the       to larger and stronger veins and makes
        skin with a surgical procedure that will     repeated needle insertions easier. Fistulas
        only require a short stay in hospital. The   are the preferred vascular access for long-
        connection between a vein and artery         term dialysis patients because they last
        allows for adequate blood flow during        longer than any other vascular access and
        dialysis. This increased blood flow leads    are less prone to infection and clotting.







        Arteriovenous
        Fistula






































        P.12 Haemodialysis and Peritoneal Dialysis – A Guide for Patients
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