Vascular access
Dialysis Access
Creating and maintaining the fistulas and grafts that make haemodialysis possible — a lifeline that deserves specialist care.
Last reviewed 1 Jul 2026
Reviewed by Dr Tay Jia Sheng · Vascular, Endovascular & General Surgeon
What is dialysis access?
Patients with kidney failure on haemodialysis need reliable access to their bloodstream three times a week. The best long-term option is usually an arteriovenous fistula — a surgical connection between an artery and vein in the arm that matures into a robust, high-flow vessel.
Services
- Fistula and graft creation — planned with ultrasound vein mapping to choose the best configuration for your anatomy
- Fistula surveillance — ultrasound assessment of flow to catch narrowing before the access fails
- Salvage procedures — angioplasty, stenting and surgical revision of failing or thrombosed access
- Dialysis catheter insertion — where needed as a bridge or long-term option
Why maintenance matters
A dialysis access is a patient’s lifeline. Problems caught early — a weakening thrill, longer bleeding after needling, poor dialysis clearance — can usually be fixed with a short endovascular procedure rather than a new operation.