A clotted dialysis access means missed treatments and potential complications. Soris Pain & Vascular Institute performs same-day declot procedures to remove blood clots from AV fistulas and grafts, restoring dialysis function quickly through a minimally invasive catheter-based approach.
Our physicians understand the urgency of dialysis access problems. Patients receive priority scheduling for access emergencies.
Soris Pain & Vascular Institute
A dialysis declot, also called thrombectomy of dialysis access, is a catheter-based procedure that removes blood clots from a thrombosed arteriovenous fistula or graft using mechanical devices, thrombolytic medication, or a combination of both to restore adequate flow for hemodialysis.
Soris Pain & Vascular Institute performs declot through a small needle puncture in the access site. The procedure avoids the need for surgical thrombectomy in most cases.
Procedure
The interventional team evaluates the clotted access with physical examination and ultrasound. The access maturity, previous interventions, and clot extent are assessed.
A catheter is inserted into the clotted access under fluoroscopic guidance. Mechanical devices break up the clot while balloon angioplasty treats any underlying stenosis. The procedure typically takes 1 to 2 hours.
Patients resume dialysis at their next scheduled session after a successful declot. Soris Pain & Vascular Institute coordinates with the patient's dialysis center to confirm access function.
Benefits
Declot restores the current fistula or graft rather than requiring a new access creation. Each functional access site is a limited resource for dialysis patients.
Soris strives to perform declot procedures as same-day outpatient treatments whenever possible, but same-day treatment cannot be guaranteed. Eligibility depends on the patient's clinical condition and scheduling availability.
During declot, the interventional team identifies and treats stenosis that caused the clot. Balloon angioplasty opens narrowed segments to reduce re-thrombosis risk.
Conditions Treated with Declot
Soris performs declot for a clotted dialysis access or a catheter that has stopped delivering flow. The procedure addresses thrombosed AV fistulas, grafts, and dialysis catheters.
Once flow is restored, a Fistulogram or Graftogram finds the narrowing that caused the clot, and Angioplasty treats it in the same session.
Collaboration
Our physicians perform declot procedures at Soris Pain & Vascular Institute. Each maintains expertise in the full range of dialysis access interventions.
FAQ
Most patients resume dialysis at their next regularly scheduled session. Soris coordinates with your dialysis center to confirm timing.
Treating the underlying stenosis during the declot procedure reduces re-thrombosis risk. Soris Pain & Vascular Institute monitors access function with surveillance ultrasound.
If the access cannot be salvaged, Soris can create new dialysis access or place a temporary catheter to maintain dialysis continuity. The team discusses alternatives during the procedure.
A clotted access needs urgent attention. Dialysis centers and referring providers can reach Soris Pain & Vascular Institute directly at 815-824-4406 for priority declot scheduling.
Our office is open Monday through Friday, 9:00 AM to 5:00 PM.
Board-certified physicians bringing hospital-level, minimally invasive interventional procedures to outpatient centers.
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