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Diagnosis / Chronic Kidney Failure/Disease – Permanent Dialysis

If you have been diagnosed with chronic kidney disease, you will need dialysis or a kidney transplant at some point, typically by the time you lose about 85 to 90 percent of your kidney function and have a GFR (glomerular filtration rate) of <15.

In some cases, patients will elect to start dialysis treatment before they have symptoms of kidney failure such as nausea, fatigue and swelling. However, in the event that you do not have symptoms, you may still choose to start treatment if your lab tests show toxic levels of waste in your blood.

What is Chronic Kidney Disease?

Chronic kidney disease is the gradual loss of kidney function over time caused by a disease or condition that impairs the kidneys ability to perform. The primary function of your kidneys is to filter wastes and excess fluids from your blood, which can then be excreted in your urine. In the early stages, patients may have few signs or symptoms and the disease may not become apparent until your kidney function is significantly impaired.

When patients with chronic kidney failure reach an advanced stage of the disease, dangerous levels of fluid, electrolytes and wastes can build up in your body.

Risk Factors

  • Diabetes
  • High blood pressure
  • Cardiovascular disease
  • Smoking
  • Obesity
  • Family history of kidney disease
  • Abnormal kidney structure
  • Advanced age
  • Race – African American, Native American or Asian American

Diseases and Conditions that Contribute to Chronic Kidney Disease

  • Diabetes – type 1 or 2
  • Glomerulonephritis – inflammation of the kidney’s filtering units (glomeruli)
  • Interstitial nephritis – inflammation of the kidney’s tubules and surrounding structures
  • Polycystic kidney disease
  • Prolonged obstruction of the urinary tract – conditions such as enlarged prostate, kidney stones and some types of cancers
  • Vesicoureteral reflux – condition that causes urine to back up in your kidneys
  • Pyelonephritis – chronic kidney infections

Complications of Chronic Kidney Disease

  • Fluid retention – swelling in your arms and legs, high blood pressure, or fluid in your lungs
  • Hyperkalemia – increased potassium levels in your blood
  • Cardiovascular disease
  • Fragile bones – increased risk of fractures
  • Anemia
  • Decreased sex drive, erectile dysfunction or reduced fertility
  • Damage to your central nervous system – causing difficulty concentrating or seizures
  • Pericarditis – inflammation of the membrane that surrounds your heart (pericardium)
  • Irreversible damage to your kidneys

IVC’s Treatments for Chronic Kidney Disease

You and your doctor will discuss when you should start treatment and what type of treatment will work best for you.

At IVC we offer both temporary (non-tunneled) and permanent (tunneled) dialysis catheter placement for patients that require dialysis treatment due to chronic kidney disease. To learn more call IVC today 503-612-0498. You can also read our brochure on Kidneys and Dialysis.

What Our Patients Are Saying

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We are announcing that Interventional and Vascular Consultants will be closing as of March 10, 2023.

We would like to thank you for the trust you have given us over the years, participating in your healthcare needs has been a privilege.

To assist in a smooth transition to a new provider, you may access your records from your MyHealth account or request a copy of medical records by clicking the link below and completing the Release of Information form.

Medical Records Release Form

Please know that we have greatly valued our relationship with you and wish you the best.


Jason Bauer, MD RVT
Michael Pfister, MD RVT

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