Dialysis Access & Fistula
Safe, Timely Vascular Access for Patients on Dialysis
- For patients with chronic kidney disease, maintaining reliable access to dialysis is critical for ongoing care. A functioning arteriovenous (AV) fistula or dialysis catheter is a lifeline — and any delay or complication in access can affect both treatment quality and patient safety. As an interventional radiologist, Dr. Praveen offers timely, image-guided solutions for creating, maintaining, and restoring dialysis access without the need for open surgery.
- Vascular access procedures are typically performed with local anaesthesia and guided by ultrasound and fluoroscopy. Depending on the patient’s condition, this may involve placing a new dialysis catheter, creating or maturing an AV fistula, or performing a balloon angioplasty to open up a narrowed or blocked segment of an existing access. In cases where ballooning alone is not enough, a stent may be inserted to keep the vessel open and functional.
- One of the major advantages of image-guided access management is speed and precision. There are no large incisions, hospital admissions are often not required, and most patients are able to resume dialysis without interruption. Early intervention in access dysfunction can prevent more serious complications, reduce the need for emergency catheter insertions, and improve the overall efficiency of dialysis care.
- Dr. Praveen works closely with nephrologists and dialysis centres to ensure seamless coordination. Regular surveillance, prompt correction of issues like poor blood flow, clotting, or prolonged bleeding post-dialysis are all part of a proactive care model that focuses on long-term access success.
- If you are a dialysis patient with concerns about fistula function, repeated catheter issues, or have been advised to prepare for long-term dialysis, this specialised service ensures you receive safe, structured, and evidence-based vascular access care — without unnecessary delays or risks.
- For patients with chronic kidney disease, maintaining reliable access to dialysis is critical for ongoing care. A functioning arteriovenous (AV) fistula or dialysis catheter is a lifeline — and any delay or complication in access can affect both treatment quality and patient safety. As an interventional radiologist, Dr. Praveen offers timely, image-guided solutions for creating, maintaining, and restoring dialysis access without the need for open surgery.
- Vascular access procedures are typically performed with local anaesthesia and guided by ultrasound and fluoroscopy. Depending on the patient’s condition, this may involve placing a new dialysis catheter, creating or maturing an AV fistula, or performing a balloon angioplasty to open up a narrowed or blocked segment of an existing access. In cases where ballooning alone is not enough, a stent may be inserted to keep the vessel open and functional.
- One of the major advantages of image-guided access management is speed and precision. There are no large incisions, hospital admissions are often not required, and most patients are able to resume dialysis without interruption. Early intervention in access dysfunction can prevent more serious complications, reduce the need for emergency catheter insertions, and improve the overall efficiency of dialysis care.
- Dr. Praveen works closely with nephrologists and dialysis centres to ensure seamless coordination. Regular surveillance, prompt correction of issues like poor blood flow, clotting, or prolonged bleeding post-dialysis are all part of a proactive care model that focuses on long-term access success.
- If you are a dialysis patient with concerns about fistula function, repeated catheter issues, or have been advised to prepare for long-term dialysis, this specialised service ensures you receive safe, structured, and evidence-based vascular access care — without unnecessary delays or risks.