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Usually before dialysis a doctor will perform an arteriogram/venigram. This is to map the location of veins and arteries in your arm. Then the doctor will bring a vein and artery together towards the surface, creating a fistula. The area usually cannot be used for about a month. In some cases, such as an emergency, tubes are inserted into veins and arteries in the chest. This type of portal can be used right away.

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