Dialysis Access Placement (AVF/AVG)

Proper dialysis access is essential for safe and effective hemodialysis. At our center, we specialize in the surgical placement of arteriovenous fistulas (AVF) and grafts (AVG) to provide reliable, long-term access for dialysis treatments.

How Dialysis Access Placement Works

  • The vascular surgeon carefully evaluates your veins and arteries to determine the best type of access for your needs.
  • Arteriovenous Fistula (AVF): Connects a vein directly to an artery, creating a strong, natural access site for dialysis.
  • Arteriovenous Graft (AVG): Uses a synthetic tube to connect an artery and vein, providing access when veins are not suitable for a fistula.
  • The procedure is performed with precision to minimize complications and maximize long-term function.

Why Dialysis Access Placement May Be Recommended

  • To provide reliable, long-term access for hemodialysis.
  • When veins or arteries need a surgically created connection for effective treatment.
  • To reduce complications and improve the efficiency of dialysis sessions.
  • To support overall kidney health and treatment outcomes.

Benefits of AVF and AVG Placement

  • Ensures safe and effective dialysis access.
  • Optimizes blood flow for efficient treatment.
  • Minimizes the risk of complications with proper surgical planning.
  • Provides a durable solution for long-term dialysis needs.
  • Helps make dialysis treatments smoother and more comfortable.

What to Expect During and After the Procedure

  • Performed in a hospital or outpatient vascular center under local or general anesthesia.
  • Recovery usually involves mild soreness or swelling at the incision site.
  • Gentle activity is encouraged, while heavy lifting and strenuous activity are restricted until cleared.
  • Follow-up appointments ensure the access site is functioning properly before starting dialysis.

Safety & Recovery Tips

  • Keep the surgical site clean and dry to prevent infection.
  • Monitor for swelling, redness, or unusual pain, and contact your doctor if these occur.
  • Avoid pressure or trauma to the new access site during recovery.
  • Maintain healthy lifestyle habits, including proper nutrition and exercise, to support vascular health and dialysis success.

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We specialize in spine, pain management, vascular, and hand disorders, offering both surgical and non-surgical treatments.

In most cases, a referral is not required. However, some insurance plans may require one. Please check with your insurance provider or call our office to confirm.

Please bring:

  • A valid photo ID
  • Insurance card
  • Any imaging studies (MRI, X-rays, CT scans)
  • Previous medical records
  • A list of current medications

We are in-network with Horizon Blue Cross Blue Shield and Medicare.

If you have out-of-network benefits, we accept all commercial insurance plans and will work with you to maximize your coverage.

If surgery is recommended, our team will review all options, risks, benefits, and recovery expectations with you to help you make an informed decision.

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