About

At the Cardiovascular Center, our specialists are trained to help with a number of conditions. Our specialists can offer you expert evaluation of your condition as well as treatment options, which may include dialysis. Our team works with you to evaluate and carry out the best treatment possible.

Dialysis

What is dialysis?

Dialysis is a procedure that is performed routinely on people who suffer from acute or chronic renal failure. The process involves removing waste substances and fluid from the blood that are normally eliminated by the kidneys. Dialysis may also be used for individuals who have been exposed to or ingested toxic substances to prevent renal failure from occurring. There are two types of dialysis that may be performed on your child: peritoneal or hemodialysis:

  • Peritoneal dialysis. Peritoneal dialysis is performed by surgically placing a special, soft, hollow tube into your child's lower abdomen near the navel. After the tube is placed, a special solution called dialysate is instilled into the peritoneal cavity. The peritoneal cavity is the space in the abdomen that houses the organs and is lined by two special membrane layers called the peritoneum. The dialysate is left in the abdomen for a designated period of time that will be determined by your child's doctor. The dialysate fluid absorbs the waste products and toxins through the peritoneum. The fluid is then drained from the abdomen, measured, and discarded. There are two different types of peritoneal dialysis: continuous ambulatory peritoneal dialysis (CAPD) and continuous cyclic peritoneal dialysis (CCPD):

    • CAPD does not require a machine. Exchanges, often referred to as passes, can be done three to five times a day, during waking hours.

    • CCPD requires the use of a special dialysis machine that can be used in the home. This type of dialysis is done automatically, even while your child is asleep.

  • Hemodialysis. Hemodialysis is performed in a dialysis center or hospital by trained health care professionals. A special type of access, called an arteriovenous (AV) fistula, is placed surgically, usually, in your child's arm. This involves joining an artery and a vein together. An external, central, intravenous (IV) catheter may also be inserted, but is less common for long-term dialysis. After access has been established, your child will be connected to a large hemodialysis machine that drains your child's blood, bathes it in a special dialysate solution that removes waste substances and fluid, then returns it to your child's bloodstream. Hemodialysis is usually performed several times a week and lasts for four to five hours. Because of the length of time hemodialysis takes, it may be helpful to bring games or reading materials for your child to occupy him or her during this procedure.

Vascular Surgeons

Benjamin Brooke, M.D., Ph.D.

Dr. Brooke grew up in Salt Lake City and received his Doctor of Medicine from the University of Utah before heading east to complete his internship and residency in General Surgery at the Johns Hopkins Hospital. During his Halsted residency, he received his Ph.D. in Clinical Investigation at the Johns Hopkins B... Read More

Specialties:

Vascular Surgery

Locations:

University Hospital (801) 581-3495

Daniel M. Ihnat, M.D.

Dr. Ihnat is board certified in general and vascular surgery and has been performing vascular surgery for over 13 years. He evaluates and treats the full spectrum of peripheral vascular diseases with both minimally invasive endovascular and open surgical techniques. Dr. Ihnat performs abdominal and thoracic aor... Read More

Specialties:

Vascular Surgery

Locations:

Specialty Clinic (801) 581-3495
Cardiovascular Clinic (801) 581-3495
University Hospital (801) 581-3495

Daniel V. Kinikini, M.D.

Daniel V. Kinikini, M.D. is an Assistant Professor in the Division of Vascular Surgery, University of Utah School of Medicine. He began his medical career here at the University of Utah, receiving his M.D. in 1997. He completed two years of a residency in Family Medicine in Boise, Idaho before beginning a res... Read More

Specialties:

Vascular Surgery

Locations:

University Hospital (801) 581-3495

Larry W. Kraiss, M.D.

Larry W. Kraiss, M.D. is Professor and Chief of the Division of Vascular Surgery at the University of Utah. He is a graduate of Vanguard University of Southern California (BA: Science-Chemistry) and Baylor College of Medicine (M.D.). He took his general and vascular surgical training at the University of Wash... Read More

Specialties:

Vascular Surgery

Locations:

Cache Valley Specialty Hospital (801) 581-3495
Uintah Basin Medical Center (801) 581-3495
University Hospital (801) 581-3495

Michelle T. Mueller, M.D.

Michelle Mueller, M.D. has been a member of the Division of Vascular Surgery since 2003, when she became a Vascular Surgery fellow. She became a full time faculty member in 2004.
Dr. Mueller received her medical degree from the University of Colorado, then compl... Read More

Specialties:

Vascular Surgery

Locations:

Veterans Administration Medical Center (801) 581-3495

Mark R. Sarfati, M.D.

Dr. Mark Sarfati is board certified in General Surgery and Vascular Surgery. He serves as Associate Professor of Surgery (clinical) and as Adjunct Assistant Professor Radiology at the University of Utah. He is actively involved in several clinical research studies.
... Read More

Specialties:

Vascular Surgery

Locations:

Memorial Hospital of Sweetwater County (801) 581-3495
University Hospital (801) 581-3495

Monica Hatch, PA-C

Monica is a Physician Assistant specializing in Vascular Surgery. She joined the University of Utah, Division of Vascular Surgery in 2012. She enjoys the challenges of providing medical and surgical care of vascular patients.... Read More

Specialties:

Vascular Surgery

Locations:

University Hospital (801) 581-3495

Denise L. Jost, N.P.

Dee Jost, APRN, is a board certified family nurse practitioner. She has been a provider at the University of Utah Medical Center since 1994 and for Vascular Surgery since 1999. Prior to obtaining her advance practice degree, she worked within the UUMC Burn ICU and she maintains her interest in wound care as pa... Read More

Specialties:

Family Nurse Practitioner, Vascular Surgery

Locations:

University Hospital (801) 581-3495

Joanna Lynch, PA-C

Joanna Lynch is a Physician Assistant with the Division of Vascular Surgery since joining the University of Utah in 2005. She provides care to hospitalized vascular surgery patients, assists in the operating room in open and endovascular surgeries and is a resource for dialysis centers. Since 2006 she has serve... Read More

Specialties:

Physician Assistant, Vascular Surgery

Locations:

University Hospital (801) 581-3495

Heidi Orr, APRN, DNP

Heidi is a Nurse Practitioner specializing in Acute Care. She joined the University of Utah, Division of Vascular Surgery in 2014. Prior to being on staff here she worked at Intermountain Healthcare. She enjoys providing complete medical and surgical care of vascular patients. ... Read More

Specialties:

Vascular Surgery

Locations:

University Hospital (801) 581-3495

Laura D. Wood, PA-C

Laura is a Physician Assistant specializing in Vascular Surgery. She joined the University of Utah, Division of Vascular Surgery in 2008. Prior to being on staff here she worked at Primary Children's Medical Center, Cardiothoracic Surgery. She enjoys providing complete medical and surgical care of vascular pa... Read More

Specialties:

Vascular Surgery

Locations:

University Hospital (801) 581-3495

Locations

University Campus
University Hospital
50 N Medical Drive
Salt Lake City, UT 84132
Map
(801) 581-2121