Dr. Spinowitz explains the complications that can occur to a dialysis access patient.

After the fistula or graft is up and running, it will, in most cases, require maintenance. The scar tissue or narrowing that caused many of the difficulties, to begin with, doesn’t just go away after one angioplasty or a stent. Sometimes the narrowing will return. The unnatural state is there 24/7. Every time the heartbeats, it's running through the vein or the graft, which is not how nature intended.

The scar tissue can build up, sometimes between three and six months, causing difficulties at dialysis. Some of the difficulties can lead to high-pressure complications. Some complications can arise with cannulation when you're trying to stick an access to the fistula or graft. Other complications can include prolonged bleeding when they remove the needle from the access.

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