Permanent kidney failure, recognized as End-stage renal disease (ESRD), is the last stage of Chronic Kidney Disease (CKD). ESRD requires a kidney transplant to cure completely, however, without an available kidney, dialysis is the best option to sustain life. When your kidneys fail, your body cannot filter your blood, causing a dangerous buildup of electrolytes, such as potassium and phosphorus. Kidney failure can also cause heart disease, increasing your chances of stroke or heart attack. According to national health information, nearly 500,000 Americans are on dialysis, and in 2013, 10% of these people succumbed to kidney disease. Symptoms of kidney disease are extensive and include:
Chronic renal failure can be caused by:
Diagnosing kidney failure is best done at a routine checkup as kidney failure can go undetected for a long time. After a complete family history evaluation and physical examination, our vascular team uses top-of-the-line, minimally invasive techniques to formulate a proper diagnosis:
Preventing the need for dialysis access due to renal failure starts with managing the other contributing diseases and risk factors:
During the hemodialysis process, access to the kidney’s filtration system can be acquired in the following minimally invasive ways:
Arteriovenous (AV) fistula – a piece of vein from your arm or leg is taken and attached to the artery to create new access to a dialysis machine, hemodialyzer.
Arteriovenous (AV) graft – synthetic material forms access from your vein to your artery if your veins are too small for an AV fistula.
Just like any surgical procedure, complications like clotting and infection can arise. Our interventional radiologists are skilled at combatting these complications, contributing to the success of hemodialysis with the following procedures:
Angioplasty and Stenting – a tiny catheter is threaded through to the constricted blood vessel where a balloon inflates the area, allowing for placement of a wire mesh stent to prevent closure of the artery
Thrombolysis – a tiny catheter is used to transport a clot dissolving drug to the impaired blood vessel
Thrombectomy - a tiny catheter is used with a surgical blade attached to cut out the clot
Ready to explore your options?
Call Now to set an appointment and talk with Dr. Marzouk and the top vascular team in Brooklyn!