New Access Consult

A New Access Consultation for fistula creation is an evaluation visit in which a patient with kidney disease is assessed for the creation of a permanent vascular access for hemodialysis. The most common type of access is an arteriovenous (AV) fistula, which connects an artery to a vein to allow strong, reliable blood flow for dialysis treatment.

During this consultation, a vascular specialist reviews the patient’s medical history, kidney function status, and future dialysis needs. A physical examination of the arms is performed to assess the size and quality of veins and arteries. Imaging studies, such as vein mapping using ultrasound, are often ordered to determine the best site for fistula creation.

The goal of the consultation is to identify the most suitable blood vessels and plan the timing of the procedure before dialysis is urgently needed. Creating access early is important because an AV fistula typically requires several weeks to months to mature before it can be used for dialysis.

The provider also discusses different types of vascular access, including fistulas, grafts, and catheters, along with their benefits and risks. Patients are educated about the procedure, expected recovery, and the importance of protecting the chosen arm for future use.

This consultation is an essential step in preparing for long-term hemodialysis care, helping ensure safe and effective dialysis treatment when it becomes necessary.