New Jersey Vein & Vascular Center
AMI's Specialists Serving All of New Jersey Providing Minimally Invasive Endovascular Treatment

New Jersey Dialysis Access Interventions

Dialysis Fistulogram, Graftogram, or “Declot”

At The Vascular Institute of AMI, our multidisciplinary team of vascular surgeons and vascular interventional radiologists now offer the southern New Jersey region convenient access to Dialysis Access Interventions and maintenance procedures.

What is a(n) Fistulogram/Graftogram/Angiogram for Dialysis Access Intervention?

These are a variety of tests which are used to take a look inside the dialysis access and seek out any blockage or narrowing of the access which could result in pulsatility or poor flow in the dialysis access.

You may find that you need one of these procedures if you experience any of the following:

  • You have noticed decreased blood flow to your access
  • You are having issues with your dialysis treatments due to your access
  • You are having symptoms like pain or swelling

During the Procedure

A long, thin plastic tube called a catheter will be inserted into your access, into which we will inject contrast dye so we can better visualize any problems. The area where the dye is infused may briefly feel warm or flushed. We will take x-rays of the affected area and if needed the fistula/graft will undergo angioplasty so that the vascular access can be maintained. After the procedure, you will go to the recovery unit, where you may stay for an hour or more. There, you will relax and lay quietly with a straight arm. When you are ready to go home, be sure that you do not do anything strenuous with your arm for the rest of the day, such as vacuuming or lifting things.

What is Central Venous Occlusion?

Also known as central venous stenosis, a central venous occlusion (CVO) is a complication that could result from a central venous catheter. It occurs in up to 40% of patients who have previously had central venous catheters, pacemakers, or ports.

Hemodialysis patients with a history of long-term catheter use are particularly susceptible to this. When a graft or fistula is placed on the same side as a central venous occlusion, the lesions have the potential to result in significant symptoms including chest wall varicose veins, extremity swelling, facial swelling, and general pain. However, when treated successfully with a stent replacement and/or angioplasty, patients frequently report significant improvement.

To find out how we can help you, call our multidisciplinary team of vascular surgeons and vascular interventional radiologists at (877) 595-9512. We have highly specialized skills to provide you with insight into your dialysis access.

Providing the Highest Quality Vascular Care Possible

Why Trust AMI's Specialists?
  • Experts in
    Endovascular Care

    Our leading doctors have over 100 years of experience and expertise in minimally invasive vascular care.

  • State-of-the-Art

    Patients can receive state-of-the-art, progressive care at one of our four offices, conveniently located in New Jersey.

  • Peripheral Vascular (ABI) Screenings

    Early detection of a vascular condition affords us the ability to catch and treat the symptoms ahead of time.

  • Comprehensive Treatments & Procedures

    As AMI's Specialists, we perform a broad range of procedures to treat all types of vascular and vein disorders.