When you need dialysis immediately and a permanent fistula isn't ready yet, a tunneled catheter bridges the gap. A soft, flexible tube is placed into a vein in your neck and secured under the skin with two small cuffs. It has two channels — one carries blood to the dialysis machine, the other returns it clean. When flow decreases over time, we swap in a new one. When your permanent access is ready, we remove it in a quick outpatient visit, leaving no device behind.
Receive comprehensive kidney care services, including catheter placement, removal, and exchange, focused on safety, comfort, and continuity of treatment.

A catheter is a thin, flexible tube placed into a vein to help deliver or remove fluids from the body. In kidney care, it is often used to provide dialysis access when other long-term options are not yet ready or need time to develop.
Catheter procedures may include placement, removal, or exchange, depending on your clinical needs. Each step is performed with a focus on safety, comfort, and maintaining reliable access for ongoing treatment.
Different catheter services are available depending on your needs, whether it is placing a new catheter, removing one that is no longer required, or replacing an existing one.
Catheter placement involves inserting a new catheter into a suitable vein, often in the neck or chest area. This is typically recommended when immediate access is required for dialysis or other therapies.
Once a catheter is no longer needed or if a more permanent access option is ready, it can be safely removed. Removal is a straightforward procedure performed with careful monitoring.
If a catheter becomes blocked, malfunctions, or shows signs of wear, it may need to be replaced. During an exchange, the existing catheter is removed, and a new one is inserted, often during the same session to avoid interruptions in treatment.
Catheter-related procedures may be needed in situations such as:
Early attention to catheter issues helps prevent complications and ensures uninterrupted care.
These procedures are typically performed using image guidance to ensure accurate placement and minimize risk. A local anesthetic is used to keep you comfortable, and sedation may be provided if needed.
For placement, the catheter is carefully inserted into the vein and positioned correctly. For removal, the catheter is gently withdrawn, and the site is cleaned and dressed. During an exchange, both steps are combined in a single, efficient procedure.
Most procedures are completed within a short time, and patients are monitored briefly afterward.
Recovery is usually quick, with most patients returning home the same day. After the procedure, you may be advised to:
Your care team will provide detailed guidance to help you maintain your catheter safely.
While catheter procedures are generally safe, potential risks include infection, bleeding, or catheter malfunction. Careful technique and proper aftercare significantly reduce these risks.
Dallas Renal Group provides comprehensive catheter care with a focus on precision, safety, and patient comfort. The team is experienced in managing dialysis access and works closely with each patient to ensure smooth, effective treatment.
If you need catheter placement, removal, or exchange, timely care is essential to maintain your treatment plan and avoid complications.
Book an appointment with Dallas Renal Group today.
Dr Khan is kind and friendly! Always explains everything about my test results so I can understand and let's me ask questions.Iam glad to have him as my Doctor and trust him for my care. The office staff are also very nice.I have had no problem with appointments and no problem contacting the office when needed.
Dr.Amna is great. She put me at ease through the entire process as it isn't easy when you are undergoing multiple procedures to figure out the issue. I do need to see her for the rest of my life but I trust her to be in her care and that she has my best interest. Her nurse Daisy is wonderful as well. They are always prompt to respond to calls, questions or requests. I wouldn't go anywhere else.
Dr. Amberker is a caring and knowledgeable kidney disease specialist. I have total confidence in her excellent treatment. Both my husband and I are fortunate to be Dr Amberker's patients.
Dr. Pariswala. Is a great Doctor. I had congestive heart failure and I was in Methodist hospital for 4 weeks. He took his time and explained to me daily our routine and progress with the medicine he prescribed. He never gave up and he work wonders for my kidney. I give him Five Stars!
The nurses empowered me with the information and tools I needed to manage my health effectively. Their educational approach made me feel more in control of my condition.