1.) Declot or Thrombectomy – This procedure removes the clot and re-establishes blood flow in the dialysis access. A clotted dialysis access cannot be used so we aim to perform this procedure as soon as the clot is discovered.
2.) Angiogram/Fistulogram – A contrast agent is injected through the graft or fistula to determine the cause of the blood flow problem. When a stenosis or narrowing is found, this procedure may also require an angioplasty (dilatation of the blood vessels) and/or a stent.
3.) Angioplasty – A balloon catheter is inserted into the graft or fistula and inflated to make it wider.
4.) Stent Placement – This metallic device holds open a blood vessel that has continued to narrow after an angioplasty.
5.) Tunneled Dialysis Catheter Insertion – A dialysis catheter is placed in one of the central veins in the neck or leg.
6.) Tunneled Dialysis Catheter Exchange – The catheter is replaced by a new or different type of catheter.
7.) Tunneled Dialysis Catheter Removal – Removal of catheter when no longer needed.
8.) Temporary Catheter Insertion – This dialysis catheter is usually placed in a central vein and is intended for less than one week of usage.
9.) Vessel Mapping – Before surgery to create an arteriovenous access, vessel mapping uses ultrasound and venography to determine the artery and vein anatomy to best see what type of access surgery should be done and where that access should be created.
10.) Ligation / coiling of the accessory/ unnecessary vein and fistulae.
11.) Banding of high flow Arterio-venous Fistula (AVF)
12.) Aneurysm or pseudoaneurysm repair/ revision of fistula
13.) Peritoneal dialysis catheter placement, removal, and repositioning
14.) Diagnostic Ultrasound of Native and Transplant Kidney – A noninvasive method to detect anomalies and dimensions of kidneys to help in treatment and manage patient plans.