Nephrology & Therapeutics

Complications during Dialysis

Various Complications during Dialysis are related to vascular access in patients on hemodialysis and to abdominal catheters in patients using continuous ambulatory peritoneal dialysis (CAPD). These vascular access complications are similar to those seen in any patient with a vascular surgical procedure (eg, bleeding, local or disseminated intravascular infections, vessel (graft) occlusion). The native peripheral vascular system is also affected with higher rates of amputation and revascularization procedures, and a peritoneal dialysis catheter subjects patients to the risks of peritonitis and local infection, because the catheter acts as a foreign body and provides a portal of entry for pathogens from the external environment