Pediatric vascular access for hemodialysis

What is pediatric vascular access for hemodialysis?

Vascular access is a way to reach the blood vessels for hemodialysis. Your child’s vascular access is their dialysis lifeline.

There are three types:

1. Fistula - an artery and vein sewn together

   • Blood from the artery makes the vein thicker so it can be used for dialysis. A fistula is often the longest-lasting access. A fistula is most often placed in an arm or leg

2. Graft - a piece of man-made blood vessel

   • A graft is used to connect an artery and a vein together. A graft can be placed in an arm or leg

3. Catheter - a plastic tube placed into a large vein.

   • A catheter is most often placed in the neck, but it may also be in the chest or groin. Catheters may be used for a short time while waiting to get a fistula or graft or waiting for a fistula or graft to heal.

There are only a few sites for vascular access. It is important to care for your child’s access so it will last as long as possible.