Dialysis Access


The Successful Way to Prepare for Hemodialysis

Permanent kidney failure, recognized as End-stage renal disease (ESRD), is the last stage of Chronic Kidney Disease (CKD). ESRD requires a kidney transplant to cure completely, however, without an available kidney, dialysis is the best option to sustain life. When your kidneys fail, your body cannot filter your blood, causing a dangerous buildup of electrolytes, such as potassium and phosphorus.  Kidney failure can also cause heart disease, increasing your chances of stroke or heart attack. According to national health information, nearly 500,000 Americans are on dialysis, and in 2013, 10% of these people succumbed to kidney disease. Symptoms of kidney disease are extensive and include:

  • Abdominal mass
  • Bad breath
  • Bone pain
  • Change in mental alertness
  • Fatigue
  • Headache
  • Frequent urination
  • Urinary incontinence
  • Multiple urinary tract infections
  • Insomnia
  • Itchy, dry skin
  • Metallic taste in mouth
  • Muscle cramps
  • Pale skin
  • Poor appetite
  • Poor muscle tone
  • Tissue swelling
  • Hearing loss
  • Vomiting

Causes & Risk Factors

Chronic renal failure can be caused by:

  • ‍Genetic disorders such as Polycystic kidney disease, Alport syndrome, Cystinosis)
  • Diabetic nephropathy 
  • Lupus
  • Hypertension
  • Prolonged urinary tract obstruction
  • Nephrotic syndrome
  • Interstitial nephritis or pyelonephritis


Diagnosing kidney failure is best done at a routine checkup as kidney failure can go undetected for a long time. After a complete family history evaluation and physical examination, our vascular team uses top-of-the-line, minimally invasive techniques to formulate a proper diagnosis:

  • Blood Test
  • Bone Scan 
  • X-Ray
  • Kidney Biopsy
  • Urine Test
  • Ultrasound
  • Electrocardiogram (ECG/ EKG)


Preventing the need for dialysis access due to renal failure starts with managing the other contributing diseases and risk factors:

  • Control your blood sugar level if you have diabetes
  • Maintain a normal blood pressure if you have hypertension
  • Maintain a healthy weight
  • Do not smoke
  • Control your cholesterol levels


During the hemodialysis process, access to the kidney’s filtration system can be acquired in the following minimally invasive ways:

Arteriovenous (AV) fistula – a piece of vein from your arm or leg is taken and attached to the artery to create new access to a dialysis machine, hemodialyzer.

Arteriovenous (AV) graft – synthetic material forms access from your vein to your artery if your veins are too small for an AV fistula.

Just like any surgical procedure, complications like clotting and infection can arise. Our interventional radiologists are skilled at combatting these complications, contributing to the success of hemodialysis with the following procedures:

Angioplasty and Stenting – a tiny catheter is threaded through to the constricted blood vessel where a balloon inflates the area, allowing for placement of a wire mesh stent to prevent closure of the artery

Thrombolysis – a tiny catheter is used to transport a clot dissolving drug to the impaired blood vessel

Thrombectomy - a tiny catheter is used with a surgical blade attached to cut out the clot

9101 4th Avenue
Bay Ridge

Brooklyn, NY 11209
Phone: 718-504-5750
Fax: 718-630-1115
Office Hours

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