Dialysis Access Placement/Surgery

Once your nephrologist has determined that you will need to begin dialysis you may be referred to our practice where we will then assist you throughout this journey.

You will meet our surgeon who will discuss peritoneal dialysis or hemodialysis, the surgical options and the overall plan for you.

We consider it our duty to you and your loved ones through the initiation of dialysis, maintenance of your access, interventions or any issues that arise with your access. Ultimately, we hope our patients are candidates for, and undergo, successful kidney transplantation.

Our surgical services at the hospital include:

An AV fistula is created when an artery is surgically connected to a vein. An example is a Radial-Cephalic AV Fistula.

The point at which the vessels are connected is called the anastomosis. While a surgeon may create “designer” fistulas, the most common vessels for fisitula creation are the Cephalic or Basilic vein and either the Radial or Brachial artery.

An AV Graft is placed using synthetic tubing, most commonly Gortex, to surgically create a connection between an artery and a vein.

The location of the graft is determined by the surgeon and depends on the patient’s vascular system. Grafts are most frequently connected between a vein and an artery in a patients arm. Thigh grafts are also possible.

We offer options for surgical revision of the AV Fistula/Graft when warranted with the intent of salvaging the existing access.

Peritoneal dialysis- dialysis treatment using the lining of your abdomen, as a filter, and a solution, dialysate to clean waste products from your body.

Through laparoscopic abdominal surgery, a soft tube, called a catheter, is inserted into your abdomen. This tube is used to fill your abdomen with dialysate, then then when the time comes to empty the dialysate and waste products from your abdomen.

Patient Testimonials:

Read what our patients are saying!

"I've been with this office for over 5 years. I've seen every Doctor and Nurse Practitioner in the office. They are all very kind and great at what they do.

The office staff treats you with care and concern. The doctors and nursing staff really listen to you. They do all they can to help you feel better. I really am so thankful for all of their help, concern, and genuine attentiveness towards helping me."

- R.P.

"The staff is nothing short of amazing!! They treat you like family! Maria is amazing and Dr. Lee alleviates any stress with terrific sense of humor. They don't treat patients...they treat people."

- A.K.

"From my first visit to the day that I had my procedure, the nursing staff and Dr. Bagla were a blessing! They all were very friendly and professional. They took very good care of me. I will definitely recommend!"

- D.H.

"The people who work here are great and made me feel as comfortable as possible. Doctors are fantastic.""

- J.H.

Click here to read more reviews

Schedule a Client Consultation

If you are interested in learning more about Dialysis access Placement and surgery, please call our office at 703-763-5224 or fill out a form below to get started!

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Office Information


Mon - Fri: 7:30 AM – 5:00 PM
Open on Saturdays and holidays at Metropolitan Vascular Institute location

Open on Saturdays and holidays at Metropolitan Vascular Institute location

For Human Resources inquiries or Employment Verifications, please email careers@teamviv.com

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