Dialysis Care7 min read

Thrombectomy: Restoring Blood Flow to Your Dialysis Access

How clot removal saves your fistula or graft and gets you back to dialysis quickly.

A clotted dialysis access is an emergency. Without functioning access, you can't receive dialysis. The good news is that thrombectomy can often restore flow and save your fistula or graft—if treated promptly.

Signs Your Access Is Clotted

Call Immediately If:

No thrill (vibration) when you touch your access
No bruit (whooshing sound) when you listen
Access feels hard instead of soft
Pain, swelling, or coldness in the arm

Why Time Matters

The longer a clot sits in your access, the harder it becomes to remove. Fresh clots are much easier to treat than old ones. Call us immediately if you notice your access isn't working—don't wait until your next dialysis appointment.

The Thrombectomy Procedure

1

Access

Small needle punctures into the fistula or graft (similar to dialysis needles).

2

Clot Removal

Clot is broken up and removed using specialized devices or clot-dissolving medication.

3

Find the Cause

Angiography identifies any narrowing that caused the clot. Most clots happen because of underlying stenosis.

4

Treat the Cause

Angioplasty (balloon) or stent opens any narrowed areas to prevent re-clotting.

After the Procedure

Success Rate

Over 90% of clotted accesses can be successfully restored with thrombectomy.

Same-Day Dialysis

Most patients can use their access for dialysis the same day or next day.

Preventing Future Clots

  • Check your access daily for thrill and bruit
  • Regular monitoring to catch narrowing early
  • Treat stenosis before it causes clotting
  • Stay well hydrated

Clotted Access? Call Now

We provide emergency same-day thrombectomy to save your dialysis access.