Yalova Cardiology

Dialysis and Port Catheter Placement: What You Need to Know
If you have kidney disease or kidney failure, your doctor may recommend dialysis as a treatment option. Dialysis is a process that filters your blood to remove waste and excess fluid from your body. To undergo dialysis, you will need a vascular access point, usually created by the insertion of a port catheter. Here we will give you an overview of dialysis and port catheter insertion, including what to expect during the procedure and how to care for your access point.
What is dialysis?
Dialysis is a treatment that replaces the function of your kidneys when they can no longer filter your blood effectively. There are two types of dialysis: hemodialysis and peritoneal dialysis.
Hemodialysis Hemodialysis is a process that uses a machine to filter your blood. During hemodialysis, your blood is pumped through a dialysis machine that removes waste and excess fluids before returning the blood to your body.
Peritoneal dialysis Peritoneal dialysis is a process that uses the lining of your abdominal cavity to filter your blood. During peritoneal dialysis, a solution is given into your abdomen through a catheter. The solution stays in your abdomen for a period of time, during which time it absorbs waste and excess fluid from your body. The solution is then drained from your abdomen and the process is repeated.
What is a port catheter?
A port catheter is a type of vascular access point used to administer dialysis treatments. A port catheter is a small device that is placed under your skin and has a catheter that extends into a large vein. The catheter is used to take blood from your body and return it to your body after it has been filtered.
What to Expect During Port Catheter Placement?
Port catheter insertion usually takes about an hour and is performed under local anesthesia.

Here is what to expect during the procedure:

• A small incision will be made in your chest and the port catheter will be placed under your skin.
• The catheter will be passed through a vein and positioned so that its tip is in a large vein near your heart.
• The incision will be closed with sutures or surgical glue.
• You will be given instructions on how to care for the insertion site and how to use your port catheter for dialysis.

Caring for your port catheter

Once your port catheter has been inserted, it is important to properly care for the insertion site to prevent infection and to keep your port catheter working properly.

Here are some tips for caring for your port catheter:

• Keep the insertion site clean and dry. Clean the area with soap and water and dry thoroughly.
• Avoid wearing tight clothing or jewelry that may rub against the insertion site.
• Use an antibacterial ointment on the insertion site as directed by your doctor.
• Do not immerse the insertion site in water, such as when swimming or bathing.
• Follow your doctor’s instructions for washing and using your port catheter for dialysis.
• Keep track of changes in the appearance or function of your port catheter and tell your doctor if you notice any problems.

Conclusion
Dialysis and port catheterization can be life-saving procedures for patients with kidney disease or kidney failure. If you are considering these procedures, it is important to discuss the risks and benefits with your doctor to determine the best course of treatment for your individual needs and health condition. With proper care and monitoring, many patients on dialysis and port catheters can lead healthy and active lives.