For patients requiring dialysis, having a reliable vascular access is critical for effective treatment. At Burjeel Medical City, our specialized vascular surgery team provides advanced, personalized solutions for creating and maintaining optimal hemodialysis access, improving outcomes and enhancing quality of life.

Understanding Hemodialysis Vascular Access

Vascular access creates a connection to your bloodstream for dialysis treatment, allowing blood to flow from your body to the dialysis machine and back. The right access type can ensure efficient dialysis, minimize complications, and improve your overall experience.

Comprehensive Vascular Access Options

Our expert surgeons at Burjeel Medical City offer the full spectrum of vascular access options, each tailored to individual patient needs:

1. Arteriovenous (AV) Fistula: The Gold Standard

An AV fistula connects an artery directly to a vein, typically in the arm, creating a stronger blood flow through the vein for easy access during dialysis.

Advantages:

  • Lowest risk of infection and clotting
  • Longest lifespan of all access types
  • Fewer complications over time
  • Better long-term outcomes

Considerations:

  • Requires 6-8 weeks to mature before use
  • May not be suitable for all patients

At Burjeel Medical City, our vascular surgeons specialize in precise fistula creation techniques to maximize success rates and minimize complications.

2. Arteriovenous (AV) Graft: An Important Alternative

An AV graft uses a synthetic tube to connect an artery and vein when a patient’s vessels are too small or damaged for a direct fistula.

Advantages:

  • Ready for use sooner than fistulas (typically within 2-6 weeks)
  • Viable option for patients with challenging vascular anatomy
  • Provides reliable access for effective dialysis

Considerations:

  • Higher risk of infection and clotting compared to fistulas
  • May require more maintenance interventions

Our surgeons ensure optimal graft placement and configuration to maximize longevity and minimize complications.

3. HeRO Graft (Hemodialysis Reliable Outflow)

The HeRO graft is an innovative solution specifically designed for patients with limited access options due to central vein stenosis or occlusion.

Advantages:

  • Enables dialysis for patients with complex vascular access challenges
  • Provides an alternative when conventional access options have failed
  • Improves quality of life for patients with limited vascular options

Considerations:

  • Requires specialized expertise for placement
  • More complex than standard access procedures

Burjeel Medical City offers this advanced option for patients who have exhausted other access alternatives.

Minimally Invasive Fistula Creation

We specialize in the latest minimally invasive techniques for fistula creation, offering significant benefits:

  • Smaller incisions with less scarring
  • Reduced post-operative pain
  • Faster recovery times
  • Lower risk of complications
  • Earlier maturation in some cases

Our endovascular specialists use advanced tools and imaging to create effective fistulas with minimal disruption to surrounding tissues.

Comprehensive Maintenance Services

Fistulogram and Angioplasty

Maintaining your vascular access is as important as creating it. We offer specialized diagnostic and maintenance procedures:

  • Fistulogram: A diagnostic imaging procedure that evaluates the function of your existing access, detecting narrowing or blockages before they cause problems
  • Angioplasty: A minimally invasive procedure to open narrowed sections of your access, maintaining optimal blood flow
  • Stent Placement: When necessary, stents can be placed to keep vessels open in problematic areas

Regular monitoring and maintenance significantly extend the life of your vascular access and reduce complications.

Why Choose Burjeel Medical City for Vascular Access?

  • Specialized Expertise: Our vascular surgeons have extensive experience in all types of dialysis access creation and maintenance
  • Comprehensive Care: From initial assessment through creation and long-term maintenance of your access
  • Advanced Technology: State-of-the-art imaging and surgical equipment for optimal outcomes
  • Minimally Invasive Focus: Emphasis on techniques that reduce recovery time and complications
  • Collaborative Approach: Working closely with nephrologists and dialysis providers to coordinate seamless care
  • Emergency Services: Rapid response for access complications to minimize disruption to your dialysis schedule

Your Partner in Dialysis Access Care

At Burjeel Medical City, we understand that reliable vascular access is vital for dialysis patients. Our team is committed to creating and maintaining the best possible access for your individual needs, helping you receive effective dialysis treatment with fewer complications.

Whether you need a new access created or are experiencing issues with an existing one, our specialized team is here to help. Contact us today to schedule a consultation and learn more about our comprehensive vascular access services.

Our Expert