TREATMENTS WE PERFORM
Dialysis Access Interventions — Seen the Same Day if Possible
A failing or clotted access needs prompt care. You are seen the same day if possible or within two business days, based on your availability, and we treat and maintain your access in our outpatient lab, with as little disruption to your schedule as possible.
Why fast access care matters
When a fistula or graft narrows or clots, every delay can mean a skipped session, a temporary catheter, or a hospital admission. Our access program is built around speed: rapid scheduling, an outpatient setting, and direct coordination with your dialysis unit. When an access clots, we prioritize urgent declot and salvage. See the Dialysis Access condition overview.
What we treat and perform
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Fistulogram (access angiogram) — a detailed picture of your fistula or graft to find narrowing or clots before they cause a failed treatment.
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Angioplasty — opening a narrowed segment with a balloon to restore good flow.
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Stenting — placing a small support when a narrowing keeps coming back.
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Declot / thrombectomy — clearing a clot to get a non-working access flowing again, the same day if possible.
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Central vein evaluation and treatment — addressing chest-vein blockages that cause arm swelling and poor flow.
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Access maturation assessment — evaluating a new fistula that isn’t developing well enough to use.
Outpatient, no hospital stay
Most access procedures are done through a small needle puncture, and patients go home the same day. We keep your dialysis unit in the loop so your care stays coordinated.
When to call us — don’t wait for your next visit
Your access needs attention fast when something changes. Check it every day — look, listen, and feel for the buzz. Call us right away if you notice any of these:
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The buzz (thrill) or whooshing sound over your access weakens, changes pitch, or disappears — the most important sign of clotting
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Bleeding from a needle site that takes longer than usual to stop, or prolonged bleeding after several sessions
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New swelling of the access arm or hand
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Redness, warmth, drainage, or pus at the access — possible infection
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Fever or chills
Call our office at (918) 943-5303 and tell us what’s changed — we’ll get you seen sooner, because catching these early often keeps a small problem from becoming a big one.
Go to the emergency room now, or call 911, if you have:
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A foot or leg that becomes suddenly cold, pale, numb, or painful
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An infection that is spreading quickly, or a fever with a wound
A clotted access is time-critical — the sooner we see you, the better the chance of saving it. If the access is bleeding heavily and won’t stop with firm pressure, call 911 or go to the emergency room.
Frequently asked questions
For referring providers — Refer failing or clotted access urgently — the patient is seen the same day if possible or within two business days, based on the patient's availability. Refer: (918) 943-5303 · fax (855) 312-3594.
Refer urgently: a clotted or non-functioning access, or access with poor dialysis flow · Routinely: a fistula that isn’t maturing, or rising venous pressures at dialysis. Full referral guide →