I got my 2nd chest catheter (1st didn’t work) and now have done some research which indicates it should only be temporary. My doctor never mentioned this. I don’t think a fistula is feasible as my veins are poor. The doctor is insisting that we try home dialysis as there is too much chance for an infection at a center. My wife is overwhelmed by this. I am 80 yrs old. Need your opinion.

I agree that a chest or tunneled hemodialysis catheter should only be used for temporary hemodialysis access. A fistula has much less chance of resulting in a serious infection on dialysis. Home peritoneal dialysis is an option and does not require a blood access. I suggest that you discuss home dialysis further with your nephrologist. To learn more about dialysis options on our web site at: https://www.kidney.org/atoz/content/choosingtreat

I also suggest that you review the information about home dialysis at: https://www.homedialysis.org/

You can also learn about peritoneal dialysis on our web site at: https://www.kidney.org/atoz/content/peritoneal

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