For patients undergoing dialysis, a reliable and long-term access point to the bloodstream is essential for effective treatment. Dialysis access allows blood to be safely filtered and cleaned by the dialysis machine, which is critical for managing kidney failure. At Dakota Vascular, we specialize in the creation, evaluation, and maintenance of dialysis access to support consistent and efficient treatment.
An arteriovenous fistula (AVF) is widely considered the preferred option for dialysis access due to its durability and lower risk of infection and clotting. During a surgical procedure, an artery and vein are connected, most commonly in the arm. This connection increases blood flow, allowing the vein to enlarge and strengthen over time. Once matured, typically over several weeks to months, the AVF provides a reliable and long-lasting access point for dialysis.
When a patient’s veins are not suitable for an AVF, an arteriovenous graft (AVG) may be recommended. An AVG uses a synthetic, biocompatible tube to connect an artery and a vein, creating a dependable pathway for blood flow during dialysis. AVGs can often be used sooner than AVFs but may require closer monitoring to reduce the risk of infection or clot formation.
Dialysis catheters are typically used when immediate access is needed or while a permanent access is maturing. A catheter is placed into a large vein, commonly in the neck, chest, or groin. While catheters provide rapid access, they are generally intended for short-term use due to a higher risk of infection and other complications.
In addition to hemodialysis access, Dakota Vascular provides specialized care for patients who choose peritoneal dialysis, a home-based dialysis option. Dr. Angelo Santos has advanced training in the placement of peritoneal dialysis catheters. These catheters are inserted through the abdomen, allowing dialysis fluid to remove waste and excess fluid from the body. Placement is performed in our clinic to support safe, effective access for home dialysis.
Dialysis access plays a critical role in long-term kidney care. At Dakota Vascular, our team works closely with patients and their care providers to determine the most appropriate access option based on individual health needs and treatment goals. Whether you need new dialysis access, access maintenance, or peritoneal dialysis catheter placement, we provide coordinated, patient-focused care throughout the process.
If you have questions about dialysis access or need to schedule a consultation, contact Dakota Vascular to speak with our care team.
Dakota Vascular is a physician-owned clinic with the Midwest’s premier specialists for treating arterial and venous disease. We are an equal opportunity employer.
3801 S Elmwood Ave
Sioux Falls, SD 57105