Vascular Dialysis Access



Why should you get Vascular Access done?

Chronic Kidney Disease patients need dialysis via. One of the vascular access like AV fistula, Perm cath, jugular line, etc.

What are the benefits of Vascular Access Treatment?

20 Mins Stenting procedure

Same-Day Discharge

No pain / no scars


Vascular Access Video:-


Why choose Citi Vascular Hospital?

Free Diagnostics Admitted Patients only

Free Medicines For Admitted Patients only

Same-Day Discharge

Complete recovery in 1-2 days

7000+ Successful procedures

100% Insurance coverage. Zero money from your pocket depending on your insurance policy terms and conditions. Paper work by our team on your behalf, Contact us for more details.

0% EMI facility.

Dedicated Care Buddy. Personal Care

No Cuts or Wounds

USFDA Approved


What are the types of Dialysis Access?

  1. Arteriovenous Fistula – Native and Prosthetic Graft
  2. Catheter – Temporary jugular line and Permanent Catheter (Perm cath)
  3. Peritoneal Dialysis


What is Arterio-Venous Fistula (AVF)?

Before beginning dialysis, your kidney specialist may recommend you have a procedure to create a “Fistula”. This is a surgically created vein to allow waste products to be removed from the bloodstream when the kidneys are failing.  This dialysis machine acts as an artificial kidney and returns clean blood through the same vein.

There are several benefits of a fistula:

  • The high rate of blood flow through the surgical vein allows the blood to be exchanged quickly
  • The fistula can be accessed as many times as needed
  • There is a lower chance of infection, particularly when using your own vein
  • Lasts longer than many other forms of dialysis


How is the fistula created?

The vessels on your arms and sometimes legs will be assessed by ultrasound so your surgeon can find the best location for your fistula.

The procedure can often be performed under local anaesthetic or by numbing the nerves to the area.  The artery (takes blood from the heart) and vein (takes blood back to the heart) will be joined at the site chosen.  This allows the high blood flow to be redirected to the fistula vein to be dialyzed. The procedure is often performed as day surgery.


What is Arteriovenous (AV) Graft?

AV graft is an option for patients whose veins are very small and most likely won’t mature into a working fistula. A surgeon will connect a soft, biocompatible flexible tube between an artery and a vein beneath your skin. 


What is a Temporary line or Jugular line for Dialysis?

Because an AV fistula needs time to mature, it is not an option for someone who needs to start hemodialysis right away.  If you need to start hemodialysis urgently, your only option is a CVC to begin treatment.  An AV fistula can be created and given time to mature while a CVC is being used.

It is a double-lumen tube placed in the neck via. Internal jugular vein mostly.


What is Permanent Catheter (Perm Cath) for Dialysis?

Perm cath is a double tube placed via. IJV or subclavian or Brachiocephlic vein and tunneled under the skin on the anterior chest wall. It can sometimes be placed even in the groin or hepatic or IVC if required.

This allows immediate access to your blood for hemodialysis without waiting for an AV fistula to mature or for an AV graft to heal.  A CVC stays in place for repeated use instead of being inserted with each dialysis session.


What is Peritoneal Dialysis (PD)?

Peritoneal dialysis is a type of dialysis that uses the lining of your abdomen, or belly, to filter your blood inside your body.




What is Chemoport or Portacath?

People who require regular access to their veins for treatment may be offered a procedure to insert a Portacath or Chemoport tube.

Doctors often recommend this type of device for patients who regularly have:

  • Chemotherapy treatments
  • Infusions of antibiotics or other medications
  • Nutritional supplements




What is PICC Line?

A peripherally inserted central catheter (PICC), also called a PICC line, is a long, thin tube that’s inserted through a vein in your arm and passed through to the larger veins near your heart.

Doctors often recommend this type of device for patients who regularly have:

  • Chemotherapy treatments
  • Infusions of antibiotics or other medications
  • Nutritional supplements




What is the Cost Vascular Access or Dialysis Access?

The Vascular Access or Dialysis Access cost depends on various factors like

  • Type of access
  • Technique and equipment used
  • Room Category
  • For best estimation – consultation by a surgeon is required.




                                        Frequently Asked Questions (FAQs)


1.Does Insurance cover Dialysis Access?

Typically, most insurances cover Vascular Access. Our insurance team will you.


2.What is the recovery time after Vascular Access?

You can start walking immediatly in most cases. Minimal pain might be there but there won’t be any effects on your daily routine in most cases.


3.Are there any side effects of Dialysis Access?

Usually there are no major side effects.


4.What is the Cost of Dialysis Access or Vascular Access?

The cost of Vascular Access or Dialysis Access depends upon multiple factors and ranges from Rs. 8,000 to 1,00,000.


5.What is the best treatment for Dialysis Access?

The Native AV Fistula is the best, but it depends on multiple factors.


6.Which is the best hospital for Vascular Access or Dialysis Access?

Citi Vascular Hospital is the best hospital for Dialysis Access Or Vascular Access, doing the highest number of Vascular Access procedures.


7.Who is the best doctor for Vascular Access or Dialysis Access treatment?

Dr. Shaileshkumar Garge and Dr. Parvez Khaja are team of doctors who are the best doctors for Vascular Access and Dialysis Access Treatment in Hyderabad. They performed the highest number of  Vascular Access treatments without surgery with the highest success rate.

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