Vascular

Dialysis Access Surgery

A surgical procedure to create or maintain reliable access for hemodialysis treatment.

What is Dialysis Access Surgery?

Dialysis access surgery establishes a vascular connection that allows efficient removal and filtration of blood during dialysis for patients with kidney failure. Common access types include arteriovenous (AV) fistulas, AV grafts, or central venous catheters. A fistula connects a vein and artery directly, offering the best long-term function, while grafts and catheters serve as alternatives when veins are unsuitable. The procedure is vital for ensuring dependable dialysis sessions and maintaining quality of life for patients requiring chronic renal support.

This procedure helps to:

Provide reliable access for long-term hemodialysis.
Ensure efficient blood flow during dialysis sessions.
Reduce complications associated with temporary catheters.
Support better dialysis outcomes and overall health.
Enable continuity of care for end-stage renal disease patients.

What to expect after Dialysis Access Surgery?

Most patients recover within a few days, though fistulas need several weeks to mature before use. Mild swelling and tenderness around the access site are normal. Proper care helps maintain function and prevent infection.

Mild arm or site discomfort during healing.
Gradual vein enlargement and improved flow in AV fistulas.
Regular monitoring for proper blood circulation.
Avoiding pressure or blood draws from the access arm.
Lifelong care to preserve access patency.

Why is it performed?

To provide long-term vascular access for hemodialysis.
To reduce infection risks from temporary catheters.
To improve dialysis efficiency and comfort.
To prepare for ongoing renal replacement therapy.
To enhance patient independence in chronic kidney disease care.

Risks and Considerations

Infection at the surgical site.
Blood clot formation or access blockage.
Bleeding or bruising around the fistula or graft.
Failure of the access to mature properly.
Need for future revisions or maintenance procedures.

Early detection is important for managing the condition and preventing further complications.

Schedule a consultation today.

FAQs

Is it painful?

Local anesthesia ensures comfort; mild soreness afterward is typical.

How long does it take?

The procedure usually lasts 1–2 hours.

Can I go home the same day?

Yes, most patients return home the same day.

What should I do after?

Keep the area clean and avoid lifting or sleeping on the access arm.

When should I call my doctor?

If you notice redness, warmth, swelling, or a loss of the access “thrill.”

Vascular

Doral Health & Wellness Vein Health Department

Doral Health & Wellness Vascular provides comprehensive care for a wide range of vascular conditions, including varicose veins, peripheral artery disease (PAD), and aneurysms. Our expert vascular surgeons offer advanced diagnostic tools and minimally invasive treatments to improve circulation, reduce pain, and enhance your quality of life.