What I offer
- Access planning — vein mapping by ultrasound and a plan matched to your anatomy and dialysis timeline
- Fistula & graft creation — surgical creation of arteriovenous access, with a preference for your own vessels when they'll serve you best
- Access maintenance & rescue — angioplasty, stenting, and declotting when an access narrows, clots, or won't mature
- Long-term surveillance — by proactively monitoring for narrowing in your fistula or graft, we have the chance to reverse small issues before they become problems that threaten the access
- Coordination with your nephrologist and dialysis center — flow problems get addressed before they become missed treatments
Common questions
When should dialysis access be created?
Well before dialysis is expected to start. A fistula needs time to mature before it can be used, so planning early avoids relying on a temporary catheter.
Fistula or graft — which is better?
When your own vessels are suitable, a fistula is generally preferred: it tends to last longer and carries a lower risk of infection. A graft is a good option when anatomy doesn't allow a fistula.
What if my access stops working?
Tell us promptly. A narrowed or clotted access can often be reopened with angioplasty, stenting, or declotting, and acting early is what preserves it.