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Hemodialysis vs Peritoneal Dialysis: Comparing Your Options
Understand the key differences between hemodialysis and peritoneal dialysis to make an informed decision about your treatment.
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Treatment Information
Understanding Your Dialysis Access
Learn about the different types of dialysis access — fistula, graft, and catheter — and how to care for them.
Last reviewed October 2025
Key Takeaways
- A fistula (AV fistula) is the preferred long-term access — it is created surgically and needs time to mature
- Never allow blood draws, IV lines, or blood pressure checks on your access arm
- Check your access daily for the "thrill" (vibration) — contact your team immediately if it stops
- Keep the access site clean and dry to prevent infection
About This Video
Your dialysis access is your lifeline — it connects you to the dialysis machine and makes treatment possible. This video explains the three types of vascular access, how to care for them, and warning signs to watch for.
Types of Vascular Access
- AV Fistula: Surgically connecting an artery and vein, usually in the arm. The gold standard — lasts longest with fewest complications.
- AV Graft: A synthetic tube connecting an artery and vein. Used when fistula is not possible.
- Central Venous Catheter: A tube inserted into a large vein in the neck or chest. Used temporarily while fistula matures.
Access Care Reminders
- Wash your access site with antibacterial soap before each treatment
- Do not carry heavy objects or sleep on your access arm
- Report any redness, swelling, warmth, or drainage to your care team immediately
- Feel for the thrill (buzzing sensation) in your fistula or graft at least twice daily
- Avoid tight clothing, jewelry, or watches on the access arm
Patient Voices
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“The articles on this site helped me understand my diagnosis. I felt much more prepared for my first dialysis session.”
— Anna L.
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“As a caregiver, the resources here gave me practical tips on how to support my husband through his treatment.”
— Carmen D.
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