Hemodialysis Care Access
Types of Hemodialysis Access
Arteriovenous Fistula (AVF)
An arteriovenous fistula (AVF) is often considered the gold standard for dialysis access due to its durability and lower risk of complications. During a surgical procedure, an artery and a vein are connected, typically in the arm. This connection increases blood flow and pressure in the vein, causing it to enlarge and strengthen over time. Once the vein has matured—usually within a few weeks to months—it becomes a reliable access point for dialysis. AVFs have the added benefit of reducing infection risks and maintaining better long-term performance compared to other options.
Arteriovenous Graft (AVG)
When a patient’s veins are not adequate enough to support an AVF, an arteriovenous graft (AVG) is a suitable alternative. An AVG involves surgically connecting an artery and a vein using a small, synthetic tube made of biocompatible material. This graft acts as a bridge between the artery and vein, allowing for reliable blood flow during dialysis. AVGs can often be used sooner than AVFs but may require more monitoring to prevent clotting or infection.
Dialysis Catheter
For patients who need immediate dialysis or are awaiting permanent access placement, a catheter can be used as a temporary solution. A dialysis catheter is a hollow, plastic tube that is inserted directly into a large vein, often in the neck, chest, or groin. While this method provides quick access, it is not ideal for long-term use due to an increased risk of infection or clot formation.
Peritoneal Dialysis (PD) Catheters
In addition to hemodialysis access, Dakota Vascular offers specialized care for patients choosing peritoneal dialysis (PD), a home-based dialysis option. Dr. Angelo Santos has advanced training in placing peritoneal dialysis catheters, which are inserted through the abdomen to allow dialysis fluid to filter waste and excess fluid from the body. This procedure is performed at our clinic, ensuring a safe and effective placement process.
Your Partners in Care
At Dakota Vascular, we understand that dialysis access is a critical part of your treatment journey. Our team is committed to working closely with you and your care providers to determine the best access option based on your individual needs. Whether you require a new access point, ongoing maintenance, or peritoneal dialysis catheter placement, we’re here to provide expert, compassionate care every step of the way.
If you have questions about dialysis access or need to schedule a consultation, please contact our team at Dakota Vascular today.