Vascular surgeons work closely with nephrologists to ensure that patients have access that is strong, durable, and functional, minimizing complications and maximizing comfort and dialysis efficiency.
Hemodialysis access procedures performed at Loyola Vascular include:
- Arteriovenous fistulas
- Arteriovenous grafts
- Central venous catheters
- Access-related infections, clotting, or narrowing
- Peritoneal dialysis catheter placement
Why Choose Loyola Medicine
Loyola’s vascular surgery team is highly experienced in providing both initial access placement and ongoing care. We offer same-day evaluations for access issues, fast-track procedures, and work to preserve existing access whenever possible. Our surgeons collaborate across specialties to create individualized treatment plans that support each patient’s dialysis journey.
How are Hemodialysis Access Conditions Diagnosed?
A thorough evaluation is essential to ensure proper blood flow and function in a dialysis access site. Diagnosis typically begins with a physical examination, during which a provider listens for changes in blood flow (a “bruit”) or feels for reduced pulsation (a “thrill”).
Noninvasive imaging plays a critical role. Duplex ultrasound helps assess the blood vessels used for access and detect any narrowing or blockages. In some cases, a fistulogram or venogram, types of X-ray procedures using contrast dye, may be performed to visualize the inside of the access site. This helps identify areas of stenosis, clotting, or mechanical failure that may be causing access issues or inadequate dialysis.
What are the Treatment Options for Hemodialysis Access Conditions?
Loyola offers a full spectrum of treatment options tailored to each patient’s needs. For patients starting dialysis, our team works to create permanent access early, preferably an AV fistula, which has the longest lifespan and lowest risk of infection. When fistulas are not an option, AV grafts or temporary central venous catheters are used.
If problems develop, treatment may include:
- Balloon angioplasty to narrowed fistulas
- Stent placement to support weak or collapsed vessels
- Thrombectomy to remove clots
- Catheter exchanges or removals
- Surgical revisions to repair or replace damaged access
Prompt intervention helps prevent access failure and reduce time without dialysis, keeping patients healthier and out of the hospital.
Research and Interventional Techniques
Loyola is committed to improving dialysis outcomes through innovative access management. Our team participates in studies focused on prolonging access function, reducing infection rates, and developing minimally invasive techniques. We use advanced tools and real-time imaging to enhance precision and minimize recovery time.
