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A hemodialysis access, or vascular access, is a way to reach the blood for hemodialysis. The access allows blood to travel through soft tubes to the dialysis machine where it is cleaned as it passes through a special filter, called a dialyzer. An access is placed by a minor surgery. As a hemodialysis patient, your access is one of the following:

  • Fistula: an access made by joining an artery and vein in your arm.
  • Graft: an access made by using a piece of soft tube to join an artery and vein in your arm.
  • Catheter: a soft tube that is placed in a large vein, usually in your neck.

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