Dialysis
In-center hemodialysis is performed at a dialysis clinic or hospital.
A machine and a special filter called a dialyzer are used to clean the blood. This process works by removing waste products such as urea and creatinine, eliminating excess fluid from the body, and balancing electrolytes, including potassium and sodium.
How It Works
Hemodialysis works by first creating access to your blood, usually through an arteriovenous (AV) fistula, an AV graft, or sometimes a central venous catheter.
During treatment, blood flows from your body into the dialysis machine, where it passes through a dialyzer that filters out waste products and excess fluids. The cleaned blood is then returned to your body.
Each dialysis session typically lasts between 3 and 5 hours and is performed three times per week.
What a typical session is like
- You check in, are weighed, and have your blood pressure taken.
- Needles are placed into your access (if you have a fistula or graft).
- You sit or recline during treatment—many people read, sleep, watch TV, or use headphones.
- Staff monitor you throughout the session.
- Afterward, needles are removed and vitals are rechecked.
Benefits
- Professional supervision by trained dialysis staff
No need to manage equipment at home
Regular schedule and structured care
Often preferred for people who need close medical monitoring
Challenges
- Fixed schedule can limit flexibility
- Travel to and from the center
- Possible side effects during or after treatment, such as:
- Fatigue
- Low blood pressure
- Muscle cramps
- Headaches
Who it’s often best for
In-center hemodialysis is often suitable for people who prefer not to perform dialysis at home, those with complex medical needs, patients who do not have a suitable home environment for dialysis, and individuals who feel more comfortable having medical staff present during their treatment.
In-center vs. other options
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Home hemodialysis: More flexible, done at home with training
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Peritoneal dialysis: Uses the lining of the abdomen instead of a machine
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Kidney transplant: A different treatment path altogether
AKDHC is affiliated with multiple dialysis units across Arizona, allowing it to provide care through a broad network of facilities.
These affiliations help ensure that patients have access to high-quality dialysis services in various locations throughout the state, supporting continuity of care and greater convenience for those receiving treatment.