Hemodialysis Access


In hemodialysis, a machine filters wastes, salts and fluid from the blood when your kidneys are no longer healthy enough to do this work adequately. Hemodialysis is one way to treat advanced kidney failure and can help you have an active life despite failing kidneys.  

Signs of kidney failure


  • Nausea 
  • Vomiting
  • Swelling 
  • Fatigue

Your doctor uses your estimated (eGFR) to measure your level of kidney function. 

 Your eGFR is calculated using your blood creatinine test results, sex, age and other factors. A normal value varies with age. This measure of your kidney function can help to plan your treatment. 


Non-invasive painless DUPLEX ULTRASOUND examination will be performed by a certified vascular ultrasound technicians. 

This usually takes 15 minutes to complete. This device uses sound waves to assess the severity and distribution of arterial disease. It is able to help physician to decide the tailored treatment plan on your first visit


We accept most major insurance companies including Medicare, Blue Shield/Blue Cross, United Healthcare, 1199, Cigna, Aetna, Healthfirst, Wellcare, etc.

Our staff will help you to contact your insurance company to verify eligibility and complete all necessary paperwork. 

Hemodialysis Access Treatment

At SVS you will be treated by fully trained vascular surgeons

There are three types of accesses we perform:


  • Arteriovenous (AV) fistula. A surgically created AV fistula is a connection between an artery and a vein, usually in the arm you use less often. 

  • AV graft. If your blood vessels are too small to form an AV fistula, the surgeon may instead create a path between an artery and a vein using a flexible, synthetic tube called a graft.

  • Central venous catheter. If you need emergency hemodialysis, a plastic tube (catheter) may be inserted into a large vein in your neck or near your groin. The catheter is temporary.

It's very important to take care of your access site to reduce the possibility of infection or complications. 

What to do next?

Your doctor will determine when you should start hemodialysis based on several factors: overall health, kidney function, signs and symptoms, quality of life, and personal preferences.