Traditional open surgery in which an artery is directly connected to a nearby vein, allowing the vein to enlarge and strengthen over time to provide durable, long-lasting dialysis access.

Ultrasound-guided, single-catheter technique that fuses a nearby artery and vein through a tiny skin puncture, typically performed with local anesthesia and a quick return to normal activities.

Placement of a soft synthetic tube between an artery and a vein when native veins are not suitable, creating a reliable access site that can often be used sooner than a fistula.

Non-invasive ultrasound study of the veins and arteries that helps identify the best vessels and location for your dialysis access, supporting safer procedures and long-term vein preservation.

Procedure to quickly remove blood clots that block a fistula or graft, restoring blood flow and helping salvage the access so dialysis can continue on schedule.

Targeted interventions such as balloon angioplasty or treatment of side branches to help slow-maturing fistulas reach adequate size and blood flow for safe dialysis use.

Procedures that rebalance blood flow between the access and the hand to relieve pain, coldness, or numbness while preserving the fistula or graft whenever possible.

Ongoing imaging and balloon angioplasty to detect and treat recurrent narrowings early, supporting long-term performance and reliability of fistulas and grafts.

Surgical removal or reconstruction of bulging, weakened segments of a fistula or graft to reduce bleeding risk and improve safety, comfort, and appearance.

Surgical procedures that bring a deep fistula closer to the skin or move it to a straighter, more accessible location, making needle placement easier and more reliable.

Treatment of blocked or narrowed central veins—often caused by long-term catheter use—to restore blood flow and support successful dialysis through fistulas or grafts.

Placement of a tunneled dialysis catheter when urgent access is needed. The catheter allows immediate dialysis while a fistula or graft is healing or being created.

Replacement or adjustment of malfunctioning catheters to improve flow, reduce infection risk, and maintain reliable access for ongoing dialysis treatments.

Safe removal of catheters once a fistula or graft is ready for use, helping reduce infection risk and preserve long-term vein health.