Dialysis access management

A dialysis fistula or graft only works if it stays open, and a failing access is a medical urgency. We monitor, maintain, and restore access so treatment is not interrupted.

What's Involved

Access surveillance — Ultrasound and flow assessment to detect narrowing before it fails.
Angioplasty and thrombectomy — Opening a narrowed access or clearing a clotted one.
Coordination — Working directly with your nephrologist and dialysis centre.

When to Come In

Difficulty with dialysis — Prolonged bleeding, low flows, or repeated alarms.
A change in the thrill or bruit — The buzz over the access feeling weaker or different.
Arm swelling — Swelling on the access side, which suggests outflow obstruction.

This content is for general information only and isn't medical advice. Talk with a qualified provider about your own situation. If you have a medical emergency, call 911.