Dialysis Access Care

Vascular Access Centers

Vascular Medicine located in Landover, MD & Brandywine, MD

Dialysis can help keep your blood clean and your body in balance if your kidneys aren’t functioning correctly. You can count on the experts at Vascular Access Centers in Landover and Brandywine, Maryland to provide a comprehensive range of dialysis access care. The team ensures your health and well-being with second-to-none dialysis access care in a warm and comfortable environment. Call or schedule your appointment online today.

Dialysis Access Care Q & A

What is dialysis?

Dialysis is a clinical treatment where machines clean your blood when your kidneys aren’t able to perform their function correctly or effectively. Most patients begin having dialysis when they lose 85% or more of their kidney function, and their bodies are no longer able to remove waste, salt, and extra water from their blood.

Dialysis helps your body maintain safe levels of certain chemicals — such as potassium, sodium, and bicarbonate — and helps control your blood pressure to protect your health.

What are some dialysis access care procedures?

The team needs to access your circulatory system through surgically placed passages called fistula to perform dialysis.
However, these passages aren’t always easily accessible, or you may have other conditions that inhibit your circulation and decrease the efficiency of dialysis. The physicians at Vascular Access Centers use a variety of procedures to meet your dialysis access needs.


A fistulagram is a procedure where your doctor uses a contrast dye and X-rays to locate your fistula. They can also use it to monitor the function of your fistula or graft to ensure your dialysis treatments are effective. If you’re showing symptoms such as high venous pressures, low flow rates, prolonged bleeding, difficulty with cannulation, or other signs of access problems, your doctor uses a fistulagram to diagnose the issue.

Peripheral arterial angioplasty

When your inflow artery or outflow vein is narrow, your doctor can open the blood vessel with a balloon catheter in a procedure called peripheral arterial angioplasty. This keeps your blood vessel open and prevents clots from blocking your graft.

Peripheral arterial stenting

Peripheral arterial stenting is a procedure that opens your inflow artery or outflow vein with a small metal tube to hold the narrow part of your blood vessel open. It’s often used when a balloon catheter treatment isn’t effective.

Fistula maturation procedures

After your doctor surgically places a fistula, your body needs to heal and accept the access passage before it can be used. This process is known as fistula maturation. However, if your fistula doesn’t mature correctly, your doctor can implement procedures to identify the cause of the poor maturation and administer treatments to reroute your blood through the fistula effectively.

Why do I need vascular experts during dialysis?

With hemodialysis, problems can occur in your blood vessels that prevent the dialysis from working correctly, which is where an endovascular center like Vascular Access Centers comes in.

The team of vascular experts works with your nephrologists to ensure your dialysis access needs are met through vigilant monitoring and intervention when necessary.

For dialysis to work well, your blood vessels need to be in good working order. Any access problem or blockage can disrupt the dialysis process, sending you back to square one. At Vascular Access Centers, the team monitors and treats access problems to ensure your continued health.

To learn more about expert vascular access care during dialysis, call Vascular Access Centers or request an appointment using the online booking feature today.

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