Dr. Spinowitz explains the different dialysis access procedures that are performed by American Endovascular.

If a patient is requiring dialysis and they do not yet have a fistula or a graft, they may require a hemodialysis catheter or a peritoneal dialysis catheter. The hemodialysis catheter is placed in the internal jugular vein, thereby allowing for adequate flow into the dialysis machine to clean the blood. Another possibility is for a peritoneal dialysis catheter to be placed.

A peritoneal dialysis catheter is placed into the abdomen, allowing dialysate which is a fluid which is allowed to enter the abdominal cavity acting like a sponge, removing the extra fluid and waste and toxins and retaining electrolyte balance through the fluid rather than through a hemodialysis machine, removing the blood from the patient.

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