Dialysis Access

Ensuring reliable, durable access for hemodialysis through expert surgical creation, routine maintenance, and emergency repairs.

A Lifeline for
Blood Filtration

For patients requiring hemodialysis, reliable vascular access is essential. Properly functioning sites are critical to effective dialysis and overall health.

Our vascular team specializes in the creation and maintenance of arteriovenous (AV) fistulas and grafts. We work closely with nephrologists to ensure durability, restoration of function when issues arise, and minimum disruption to your ongoing renal care.

Clinical Notice: If your access feels cold, looks swollen, or if you cannot feel the normal 'thrill' (vibration), contact Dr. Desai's office immediately.

Comprehensive Access Care

Specialized surgical management for hemodialysis patients

AV Fistula

The gold standard for access, created by connecting an artery directly to a vein for superior durability.

AV Graft

An artificial tube used to connect an artery and vein when a natural fistula is not an option.

Maintenance & Repair

Prompt intervention for narrowing (stenosis) or clotting to restore function and prevent therapy interruption.

Access Evaluation

Advanced ultrasound mapping to determine the most appropriate placement for long-term health.

Maintaining
Access Function

We work closely with nephrologists and dialysis centers to ensure each patient receives the most durable option. When problems such as narrowing or clotting occur, we offer prompt evaluation.

  • Prompt evaluation for suspected access stenosis

  • Minimally invasive thrombectomy for clotted access

  • Fistulograms to identify and treat flow issues

  • Coordination with local dialysis centers for same-day triage

"Our goal is to relieve discomfort, improve circulation, and restore both the health and appearance of your legs—helping you get back to living comfortably."

Dr. Neil Desai

The Desai Difference

Precision and compassion in access management

Lifeline Priority

We understand that dialysis access is a patient's lifeline; we prioritize repairs to minimize dialysis downtime.

Nephrology Synergy

Close collaboration with your kidney specialist and dialysis center for integrated vascular management.

Conservative Approach

We focus on creating the most durable access possible, favoring autogenous fistulas whenever clinically viable.

Restore your Flow

Don't wait for complications. Schedule your expert wound assessment today and start your journey to recovery.

Board-certified vascular surgery specializing in advanced life-saving technologies.

CONNECT

CLINIC

Monday – Friday : 8:00am – 5:00pm

Saturday-Sunday : Closed

Restoring Flow.

Renewing Life.

Schedule a consultation with Dr. Desai today and experience advanced, compassionate care for your recovery.

© 2026 Dr. Neil Desai. HIPAA Compliant Vascular Specialist.