We offer a full spectrum of dialysis access creation procedures and provide advanced dialysis treatment options for patients with kidney failure, chronic kidney disease (CKD), and end-stage renal disease (ESRD). Our expert team, led by Uro Nephro Clinic, ensures that each patient receives personalized care, from creating access for dialysis to providing state-of-the-art treatment options, such as hemodialysis, hemodiafiltration, SLED and CRRT.

Dialysis Access Creation

Dialysis requires reliable and durable access to your bloodstream to allow for the proper filtering of waste products and excess fluids. At Uro Nephro Clinic, we provide multiple types of dialysis access creation, including:

1. AV Fistula Creation

An arteriovenous (AV) fistula is the preferred method of dialysis access, as it is a long-lasting and low-maintenance option for patients requiring regular hemodialysis. During this surgical procedure, an artery and vein are connected, allowing for increased blood flow to support efficient dialysis. Benefits of AV fistula creation include:

• Increased durability and lower risk of infection
• Improved blood flow, leading to more effective dialysis
• Long-term solution for patients requiring ongoing dialysis

2. Permacath Insertion

A permacath is a tunneled catheter inserted for patients who require immediate dialysis access. This catheter is placed under the skin and connected to a large vein, allowing for direct access to the bloodstream. Permacath insertion is often used as a temporary solution while a more permanent access method, like an AV fistula, matures. Benefits include:

• Quick and efficient access for dialysis initiation
• Less invasive compared to surgical access options
• Ideal for short-term use or patients not suitable for fistula creation

3. CAPD Insertion

Continuous Ambulatory Peritoneal Dialysis (CAPD) is a form of peritoneal dialysis, where a catheter is inserted into the patient’s abdomen to allow for fluid exchange. This is a home-based treatment option that provides patients with more flexibility in managing their dialysis schedule. Our team offers:

• CAPD catheter insertion with minimal invasion
• Comprehensive education and training in managing CAPD at home
• Personalised treatment plans to suit the patient's lifestyle and needs

4. IJV/Subclavian HD Catheter Insertion

For patients who need urgent dialysis or are awaiting AV fistula maturation, we offer Internal Jugular Vein (IJV) and Subclavian Hemodialysis (HD) catheter insertion. These catheters provide immediate access to the bloodstream for hemodialysis treatments and can be inserted under local anaesthesia with minimal discomfort.

Dialysis Treatment Facilities

At Uro Nephro Clinic, we offer a wide range of dialysis services to meet the needs of our patients, including hemodialysis, hemodiafiltration, and continuous renal replacement therapies. Our facility is equipped with cutting-edge technology and a team of highly skilled professionals to ensure the best possible care.

1. Hemodialysis

Hemodialysis is one of the most common forms of dialysis, where a machine filters the blood outside the body to remove waste products and excess fluids. Our hemodialysis center offers:

• Safe, efficient treatments with advanced monitoring systems to ensure optimal outcomes
• Experienced staff is to provide personalized care during each session
• Comfortable facilities designed to enhance the patient experience during treatment

2. Hemodiafiltration (HDF)

Hemodiafiltration (HDF) is an advanced form of dialysis that combines the benefits of both hemodialysis and filtration to remove waste and toxins more effectively. HDF is especially beneficial for patients with high levels of inflammation or who are not responding well to traditional dialysis. Our HDF facility offers:

• Improved toxin clearance, leading to better patient outcomes
• Reduced inflammation, promoting overall health and well-being
• A state-of-the-art system that ensures both filtration and diffusion processes are performed optimally

3. SLED (Sustained Low-Efficiency Dialysis)

SLED is a slower and gentler form of dialysis, often used for critically ill patients or those with cardiovascular instability. It allows for more gradual fluid removal, minimizing the risk of complications such as low blood pressure. Our SLED services are ideal for patients who require:

• Extended, lower-intensity treatments to prevent strain on the heart and circulatory system
• Customized care plans for patients with complex medical conditions

4. CRRT (Continuous Renal Replacement Therapy)

Continuous Renal Replacement Therapy (CRRT) is designed for critically ill patients with acute kidney injury (AKI) who require continuous dialysis over 24 hours. This therapy is typically used in intensive care units (ICUs) for patients who cannot tolerate traditional hemodialysis. Our CRRT services include:

• 24-hour, continuous treatment to maintain fluid and electrolyte balance
• Tailored therapy for patients with multiple organ failure or hemodynamic instability
• Experienced ICU staff is and nephrologists to monitor patients round-the-clock

Contact Us for Expert Dialysis Care

If you or a loved one needs dialysis or requires access creation, schedule a consultation with Dr. Rahul Yadav at Uro Nephro Clinic. Our expert team is here to guide you through every stage of kidney disease management, ensuring the best possible outcomes.