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First Perm catheter Procedure performed in Zulekha Hospital

Kidney disease is a serious issue worldwide .Two of the highest risk factors associated with kidney disease is diabetes and , both of which are very common in the UAE and across the region. This strongly suggests that the region is likely to see a greater incidence of kidney disease and therefore greater demand for dialysis, in future.

Dialysis is a mechanical process that performs the work that healthy kidneys would do. When chronic kidney disease becomes so severe that your kidneys are no longer working properly, you may need dialysis. You may use dialysis to replace the work of the kidneys for many years, or it may be a short-term measure while you are waiting for a kidney transplant.

Before starting dialysis, the Nephrologists place a dialysis access in your body so that blood or body fluids can be transferred between your body and the machine.

Three different types of vascular access are available to perform dialysis.

Temporary access – These are stiff PVC catheter which can be used to start dialysis. Disadvantage of these catheters is that it can be kept only for a short period (3-4 weeks max). Risk of infection becomes unacceptably high after that period.

Perm catheters -These are soft non-thrombogenic cutted silicon catheter which put through a tunnel created on chest wall. Being cuffed give them advantage to be used for a long period of time (Many months) without any risk of infections.

AV Fistula and grafts – In these case artery and vein are joined together in arm or leg direct by (AV Fistula) or using a plastic conduit (AV graft) to create a vascular access for hemodialysis purpose.

Since most of the patients present in later stages of chronic kidney disease, perm catheter remains a good choice especially if patient will require hemodialytic support only for few months before either he recovers enough native kidney functions to discontinue dialysis or finds a suitable donor for kidney transplant.

The department of Nephrology is under the guidance of Dr. Kareem Mohammed. The perm catheter procedure has carried out by Dr. Alind Kumar, Specialist Nephrologist

Nephrology and Dialysis unit at Zulekha Hospital, Dubai was established in 2006. The Unit has the latest B. Braun Dialog + Dialysis Machine program of Hemodialysis for acute and chronic renal failure.

Performance of vascular access in form of insertion of double lumen catheters, creation of A.V. Fistula peritoneal dialysis and renal is being practiced here with one to one nursing care.

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