Long-term success of hemodialysis depends heavily on the reliability and health of vascular access. Access site monitoring and timely revision are critical in preventing access failure, reducing hospitalizations, and maintaining effective dialysis delivery. At IMH, access surveillance is an integral part of the nephrology care continuum.

Vascular access complications such as stenosis, thrombosis, aneurysm formation, and inadequate blood flow often develop silently before access failure occurs. Routine monitoring allows early identification and intervention, preserving access longevity.

IMH employs a structured monitoring protocol that includes clinical examination, dialysis performance indicators, and imaging studies when indicated. Signs such as reduced dialysis adequacy, prolonged bleeding after needle removal, changes in thrill or bruit, limb swelling, or repeated alarms during dialysis sessions trigger immediate evaluation.

When abnormalities are detected, timely access revision is planned. This may involve surgical revision, angioplasty, thrombectomy, or graft repair, depending on the underlying issue. Interventions are performed with the goal of restoring optimal blood flow while preserving future access options.

Post-revision care includes close monitoring, patient education, and coordination between nephrologists, vascular specialists, dialysis nurses, and Family Medicine physicians. Patients are educated on daily self-checks, limb protection, and early symptom recognition.

Access site monitoring also plays a key role in infection prevention and patient safety. Regular surveillance reduces emergency catheter placements and improves overall dialysis outcomes.

At IMH, proactive access management ensures dialysis patients experience fewer interruptions, improved treatment efficiency, and enhanced quality of life.