I am soon going to home dialysis and my doctor wanted me to daily dialysis. However I currently have a right side Permcath and it is not doing so good. I have to use a TPA dwell in it most times to get it going. However I do think Warfarin or another blood thinner may help with that as once its going it give good speed at 350.

What I want to know is what people do because I understand you can't needle a fistula 7 days a week. Do people have both a fistula and a line or just tessio lines?

Thanks

Neal

I am in a slow nocturnal group in the USA. The patients dialyze 6 nights a weeks. Some of the patients have catheters some have a fiscula. I believe this also true in the Canadian programs.

I've dialyzed five to six times a week at home for over a year. I have a 12 year old fistula, I use the buttonhole technique for the arterial site and the area method for the venous site. I have not noticed any change in my fistula since starting more frequent dialysis.

I've been on Nocturnal for year. I have an upper arm fistula needled 6 times per week. Here in Geelong, Australia, most nocturnal patients use fistulas. I agree with Bill Peckham.

Here in the States we use the Button Holes for daily dialysis. This entails the development of 2 to 4 insertions sites that can be alternated each treatment. The development of the sites takes a few weeks.
Another option is to use a single needle approach. A single needle is used to remove and replace blood. This requires a special pump on the dialysis machine.
We have had excellent results with both fistulas and grafts.
Good for you for choosing this modality!