Dialysis Access Procedures
The surgeons at Mid-Atlantic Surgical Group are experienced in the creation of dialysis access. Our goal at MASG is to provide long-term access for dialysis as quickly as possible, in order to reduce the time that our patients depend on a catheter for their dialysis.
We perform the following procedures for dialysis access:
AV Fistula Creation
Using ultrasound-guided techniques, new AV fistulas are created to allow patients catheter-free dialysis. AV fistulas are created from a patient’s own vein – this reduces the risks of infection and extends the lifespan of the access.
AV Graft Placement
For patients who are not candidates for AV fistula creation, a graft can be placed under the skin allowing for dialysis access without the need for a catheter.
Peritoneal Dialysis Catheter Placement
Using laparoscopic techniques, PD catheters can be placed through two or three small incisions. PD Catheters provide a alternative dialysis for patients who would prefer to stay at home for dialysis, or for those who do not have adequate veins for traditional hemodialysis.
Fistulography
Using minimally invasive catheterization techniques, our Vascular Surgeons can improve flow in a weak or struggling fistula, preventing patients from requiring new fistula creation.
Angioplasty
This procedure is used to, open up narrowed veins, coil embolization of unwanted branches, thrombectomy of clotted access, and stenting of recalcitrant stenosis can all be performed. Angioplasty can also be used on existing fistulas to maintain the fistula and help prevent future failure.
