Vascular surgeons in Daytona Beach, Florida are specialists in treating diseases and conditions that affect the circulatory system of the body. If the arteries that carry blood away from the heart and the veins that return blood to the heart are not functioning properly, a vascular surgeon can intervene and hopefully correct the problem.
People with End Stage Renal Disease (ESRD) or kidney disease that requires dialysis treatments, require the services of a vascular surgeon to create an access through which dialysis can be formed. Blood must be removed from the body, passed through a dialyzer and then returned back to the body. The process is a closed-loop system that works best with a high rate of blood flowing through the body. The more blood that passes through the body the better the blood can be cleaned and the impurities removed. The cleaner the blood, the better the patient will feel.
To facilitate the process, an access called a fistula can be created, usually in the forearm but sometimes in the upper arm. A fistula is created by joining a vein and an artery together. Blood from the artery is diverted into a large vein and after approximately two months, the vein develops and becomes large enough and strong enough to accommodate the large needles used in dialysis.
Certain vascular surgeons in Daytona Beach specialize in this type of surgery which is usually done on an out patient basis. The surgery itself is done through a small incision in the wrist or arm depending on where the fistula is to be placed. The patient is either heavily sedated or put under for the operation which usually lasts less than an hour. After surgery, the patient will feel very groggy and will usually have a very difficult time opening and closing their fingers. It is a strange feeling that goes away after about an hour.
Before a vascular surgeon will attempt to create a viable fistula the patient must be evaluated with a series of tests to make sure there is sufficient circulation in the arm and that a vein of suitable size can be used to create the access. An ultrasound test can show the blood flow around the wrist and all the way up through the arm. If the veins are too small in the forearm, the next option for creating a fistula is to go to an area above the elbow and below the shoulder.
Due to the nature of the surgery, if a fistula is created in the upper arm, one in the lower arm can not be created if the first fistula fails. However, if an access is in the lower arm and it fails, the vascular surgeon can create a new one in the upper arm.
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