Dialysis Access

Dialysis Access

Our kidneys filter wastes and excess fluid from our bodies. Some patients suffer from a gradual reduction of kidney function called chronic kidney disease. When the kidney function deteriorates past the point of medical management, hemodialysis is initiated. Hemodialysis consists of sessions in which a machine filters waste from the blood. These sessions are usually three times a week. Patients on dialysis need creation of an access; this is most commonly done through an arteriovenous fistula, although sometimes a prosthetic graft or catheter may be indicated. An arteriovenous fistula is created by connecting an artery to a vein. For patients in need of dialysis access, your surgeon will assess your anatomy and determine which type of dialysis access can be used for you. Dialysis access is usually created in the non-dominant arm; periodic procedures called angiograms of the fistula may be needed to maintain the fistula function as the fistula matures and is cannulated.

If you or a loved one needs dialysis, the experts at Mount Sinai South Nassau Dialysis Services offer convenient options for treatment.

Risk Factors

  • Patients with ESRD often have poorly controlled diabetes, high blood pressure, advanced age, and smoking history
  • Kidney conditions such as polycystic kidney disease can lower kidney function and require initiation of dialysis

Treatment

  • After the creation of the dialysis access, regular follow up with your vascular surgeon and nephrologist is required to maintain kidney function and hemodialysis access

Learn more

Peripheral Artery Disease (PAD)
Varicose and Spider Veins
Deep Venous Thrombosis (DVT)
Abdominal Aortic Aneurysm (AAA)
Peripheral Aneurysmal Disease
Carotid Artery Disease
Dialysis Access
Wound Care
Vascular Lab
Giant Cell Arteritis
Lymphedema
Mesenteric Ischemi

Peripheral Artery Disease

Peripheral Artery Disease

Peripheral Artery Disease, commonly referred to as PAD, is a chronic condition...

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Varicose and Spider Veins

Varicose and Spider Veins

Varicose veins are twisted, enlarged veins, most commonly found in the legs....

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Deep Venous Thrombosis

Deep Venous Thrombosis

A Deep Venous Thrombosis (DVT) is a blood clot that forms in the deep veins in the body....

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Abdominal Aortic Aneurysm (AAA)

Abdominal Aortic Aneurysm

The aorta is the largest artery in the body. The walls of the segment of the aorta in the abdomen...

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Peripheral Aneurysmal Disease

Peripheral Aneurysmal Disease

An aneurysm is a bulging of the artery caused by the weakening of the walls of the artery....

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Carotid Artery Disease

Carotid Artery Disease

Stenosis, or stiffening, of the carotid arteries occurs when fatty deposits, or plaques, adhere to the walls...

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Dialysis Access

Dialysis Access

Our kidneys filter wastes and excess fluid from our bodies. Some patients suffer from...

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Wound Care

Wound Care

Whether you’ve had a wound for a short period of time or wounds that recur over time, open wounds can interfere...

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Vascular Lab

Vascular Lab

Ultrasound exams, also called sonograms, are painless, fast and especially useful to help your physician diagnosis...

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Giant Cell Arteritis

Giant Cell Arteritis

Giant cell arteritis is inflammation of the walls of the arteries, most commonly in the arteries in the head....

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Lymphedema

Lymphedema

Lymphedema is the buildup of lymph fluid in the arms or legs. Lymph fluid is usually filtered by lymph nodes,...

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Mesenteric Ischemi

Mesenteric Ischemi

Mesenteric Ischemia is poor blood supply to the mesenteric organs, like the intestines, stomach, liver and colon....

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