Dialysis Access Creation & Maintenance with Dr. Ross
Dr. Ross provides dialysis access evaluation, creation, and ongoing management for patients who require hemodialysis. The goal is to establish dependable vascular access while considering long-term function, vein preservation, and each patient’s individual medical needs.
Options may include an arteriovenous (AV) fistula, AV graft, or dialysis catheter depending on your vascular anatomy and treatment needs.
Comprehensive Dialysis Access Care with Dr. Ross
Reliable vascular access is an important part of successful hemodialysis treatment. Dr. Ross evaluates each patient’s circulation and vascular anatomy to determine an appropriate access option. When possible, planning begins before dialysis is needed so the access has sufficient time to heal and become ready for use.
Depending on your individual circumstances, Dr. Ross may recommend an arteriovenous (AV) fistula, AV graft, or dialysis catheter. Care does not end after the access is created. Ongoing monitoring can help identify narrowing, reduced blood flow, clotting, or other problems that could interfere with dialysis.
If an existing dialysis access is not functioning properly, Dr. Ross can evaluate the problem and determine whether additional treatment or revision is appropriate. Coordination with your nephrologist and dialysis center can also help support continuity of care and keep your dialysis treatment on schedule.
If you are preparing for dialysis, need a new vascular access, or are experiencing problems with an existing access, request an appointment with Dr. Ross to discuss your options.
Frequently Asked Questions
What types of dialysis access does Dr. Ross provide?
Dialysis access options may include arteriovenous (AV) fistulas, AV grafts, and dialysis catheters. The appropriate type depends on factors such as your vascular anatomy, overall health, dialysis needs, and how soon access is required.
What is an AV fistula?
An AV fistula is created by surgically connecting an artery directly to a vein, usually in the arm. Over time, increased blood flow causes the vein to become larger and stronger so it can be used for hemodialysis. When suitable, AV fistulas are commonly preferred for long-term dialysis access.
How can I tell if my dialysis access is working properly?
A functioning AV fistula or graft usually has a vibration known as a “thrill” that can be felt over the access. Changes such as a weaker or absent thrill, unusual swelling, redness, pain, prolonged bleeding after dialysis, or difficulty during treatment should be evaluated promptly.
Does dialysis access require ongoing maintenance?
Yes. Regular monitoring is important for identifying problems before they interfere with dialysis. If narrowing, clotting, or another issue develops, additional evaluation or treatment may be necessary to restore or maintain adequate blood flow.
Can dialysis access be created if my veins are too small or unhealthy?
Dr. Ross can evaluate your blood vessels to determine which access options may be appropriate. If an AV fistula is not suitable, an AV graft or another form of dialysis access may be considered based on your anatomy and medical needs.
How long does it take before a new dialysis access can be used?
The timeline varies according to the type of access and how well it heals. AV fistulas generally require time to mature before they can be used reliably, while some grafts may become usable sooner. Dialysis catheters can provide more immediate access when necessary. Dr. Ross will provide guidance based on the specific type of access and your treatment schedule.