A Less Invasive Option for Hemodialysis Patients
If you or a loved one is preparing to start hemodialysis, you’ll need a reliable way for blood to travel between your body and the dialysis machine. Traditionally, this requires a surgical procedure to create a vascular access called an arteriovenous fistula (AVF). But thanks to medical advancements, there’s now a minimally invasive alternative: percutaneous dialysis access creation, also known as EndoAVF.
This procedure offers the same reliable access needed for dialysis, but without traditional surgery. It's a safe, effective option with faster recovery and improved cosmetic results—designed for patients who want a gentler experience with fewer interruptions to daily life.
What Is a Dialysis Fistula and Why Is It Needed?
An arteriovenous fistula (AVF) is a connection made between an artery and a vein, usually in the arm. This access point allows blood to flow quickly and steadily to and from the dialysis machine during treatment. A well-functioning AVF is critical for efficient, comfortable dialysis.
Traditionally, AVFs are created through open surgery. While effective, surgical fistulas involve larger incisions, a longer recovery, and a higher risk of complications like infection or scarring.
What Is Percutaneous Dialysis Access (EndoAVF)?
Percutaneous dialysis access creation, or EndoAVF, is a modern, less invasive procedure that creates the same connection between an artery and vein—but without the need for large incisions or stitches.
Using advanced imaging and catheter-based tools, a vascular specialist creates the AVF through a small puncture in the skin. The procedure is done under local anesthesia and typically takes less than an hour. Most patients go home the same day.
How the Procedure Works
- Tiny Access Point: A small needle puncture is made—usually in the arm—to access the blood vessels.
- Imaging Guidance: Real-time ultrasound and X-ray imaging help the specialist locate the right artery and vein.
- Creating the Connection: A device is inserted through the catheter to connect the artery and vein, forming the AVF.
- No Stitches Needed: Once the connection is made, the device is removed, and the tiny access site is bandaged—no sutures or large cuts are involved.
Benefits of Percutaneous (EndoAVF) Access Creation
- Minimally Invasive: No surgical incisions, less trauma to the body.
- Faster Recovery: Most patients resume normal activities within a day or two.
- Improved Cosmetic Appearance: No visible scarring or surgical wound on the arm.
- Outpatient Procedure: Typically done in a vascular outpatient center—no hospital stay required.
- Comparable Performance: Studies show EndoAVFs provide reliable dialysis access with outcomes similar to traditional surgical AVFs.
Why Choose California Vascular Health Specialists?
At California Vascular Health Specialists, we combine advanced technology with compassionate, patient-centered care. Our team specializes in minimally invasive procedures like EndoAVF, offering dialysis patients a more comfortable experience and faster return to daily life. We work closely with nephrologists and dialysis centers to ensure seamless coordination and long-term success.
