Dialysis is a treatment for patients diagnosed with kidney failure or kidney disease. When dialysis is ordered, patients receive it on a consistent, ongoing basis to help rid the body of unwanted waste products, toxins, and excess fluids by cleaning and filtering the blood. Dialysis is a necessary and effective treatment for men and women in various stages of kidney disease and can often take the place of some kidney function. With dialysis, proper medical care, adhering to a healthy lifestyle, and using certain medications, people can live longer lives. In order for a patient to begin dialysis treatment, a dialysis catheter must first be inserted. At Arizona Premier Surgery serving the greater Phoenix area with locations in Scottsdale, Gilbert, and Chandler, our skilled, experienced surgeons can work with your kidney specialist and perform dialysis catheter insertion and removal per your specialized treatment plan.
How the Catheter Works
A dialysis catheter is a small, hollow tube that is carefully placed into a patient's vein so that repeated access to a patient's bloodstream can occur without the need for removal. This special catheter is necessary for patients undergoing dialysis treatment and is used for exchanging blood to and from the hemodialysis machine. During each dialysis treatment session, your medical provider will carefully connect the tubes from the dialysis machine to the aspect of the catheter that is located outside of your body. This allows for blood to easily be removed and replaced without having to reinsert the catheter each time.
"I was referred to Dr. Albert Amini following a ct scan. He professionally went over the results with me. His caring nature assured me that the results were probably non-evasive. He suggested a follow-up mri in 6 months. During my follow-up appointment, his caring professional demeanor asked me that son was alright. Dr. Amini sat with me, described the images of the mri, and gave me his professional opinion of the results of the scan."- H.F. / Yelp / Jan 19, 2018
"I ended up with a perforated appendix shortly after New Year's 2019 and in the hospital. Dr. Pepple was assigned to me. He did a wonderful job of explaining the preferred plan of dealing with the situation, reducing the risk of additional complications and getting me on the road to recovery. He was realistic in outlining the timeframes involved in the preferred treatment approach, and flexible in moving up the my surgery once the initial infection was under control."- T.W. / Healthgrades / Mar 12, 2019
"Dr. Pepple was assigned to me after I was admitted to the hospital with a perforated appendix. He did a wonderful job of explaining the situation and the preferred treatment approach to reduce the impact of further complications. I highly recommend Dr. Pepple and APS."- T.W. / Google / Mar 12, 2019
"Dr.Pepple was by far and away the most professional doctor I have ever experienced! He consulted with me in the removal of a significantly large growth on the back of my upper leg and although wanted to perform in OR agreed that he could perform in office. He explained the difference between OR and in office and was concerned that I might incur more discomfort in office... we decided to go forward down that path and my experience was outstanding!"- J.J. / Healthgrades / Feb 22, 2019
"I have been a patient of Dr. Amini for just over a year now. I was unfortunate enough to have a very severe case of pancreatitis and diabetic ketoacidosis. The damage inside my body from constant buildup of fluids in pseudocyst all threw out my abdomen presented a very difficult case for my doctors. I was treated at two other hospitals without success while I was slipping deeper and deeper into the effects of my disease. Dr. Amini heard about me through one of his partners and sought me out at another hospital. When he found me he offered to transfer me to honorhealth Shea where he has surgical privileges and he headed up a team of surgeons that saved my life. I've seen all of the physicians at his practice and they have all been wonderful and thoughtful. Dr. Pepple even had a way of cheering me up when I was at my lowest. His bedside manner and personality we're perfectly suited for someone as sick as I was. It's important to have doctors who are human first and can explain everything in a way that is realistic yet comforting.Dr. Amini has performed a few surgeries on me already and we're planning for another rather involved one coming up soon. I could not feel more comfortable under the care of anyone else. I highly recommend this team in this office if you have a serious problem and need true help.There will always be people in my life that I remember and cherish. The members on his team and the staff in his office rank among the highest.I would absolutely recommend this office and this staff with the highest confidence.Michael Malfitano"- M.M. / Google / Feb 09, 2019
Dialysis Catheter Insertion
Dialysis catheter insertion is performed at Arizona Premier Surgery to ensure the catheter is properly inserted and in place so that you can receive your dialysis treatments. Prior to inserting the catheter, we will monitor your blood pressure, heart rate, and pulse. General anesthesia is not necessary in most cases, and instead, an intravenous (IV) line will be inserted into a vein located in either your arm or hand. The IV line will allow our team to provide a sedative during the procedure. The area of the body where the catheter will be inserted will be cleaned, shaved, and sterilized, and then numbed with a local anesthetic. Using a specialized image-guidance microscope, the catheter will be placed into your vein using gentle manipulation so it fits properly and comfortably. The procedure generally takes about 40 minutes.
After the catheter is in place, patients will need to rest and avoid strenuous activity. There may be some swelling and bruising at the insertion site. We will provide detailed instructions on how to care for your catheter, but the most important factor is that it is kept clean and dry. Following catheter insertion surgery, it is important to contact our surgical center if you experience any complications, such as fever, bleeding or drainage, or increased swelling at the insertion site.
Dialysis Catheter Removal
Once your dialysis treatment has concluded, you will need to have the catheter removed. Catheter removal may also occur if you need a new catheter or if there is a problem with the current one. You will return to Arizona Premier Surgery for this process. Using image-guided technology, your surgeon will make a tiny incision and safely remove the catheter from the vein. A local anesthetic is used during this process to help minimize any discomfort. It is common for patients to feel a sensation when the catheter is coming out, but this does not cause pain. Once the catheter and port are removed, the area will be sutured and covered with a bandage. After-care for catheter removal includes daily cleaning and protection of the area. It may take a few days or weeks, but the area where the catheter resided should begin to appear normal.
Plan Your Procedure
- Recovery Time
- 2 Days
If you are scheduled to undergo dialysis treatment, Arizona Premier Surgery can work with you to ensure your catheter is properly inserted and removed. We work with a number of kidney specialists throughout the greater Phoenix area and use advanced surgery methods so that your catheter works properly and provides maximum comfort. We are here to answer any questions and offer caring and compassionate treatment to help prepare you for your dialysis sessions. We invite you to call one of our surgery centers to learn more.