Dialysis Access Maintenance in 2025: What Factors Drive Decisions?

Successful access management relies on durability, consideration of current and future access needs, timely access to care, and prioritization of the patients’ preferences and goals.

With Bart Dolmatch, MD, FSIR; Dheeraj K. Rajan, MD, FRCPC, FSIR, FACR; Dalia Zaky Dawoud, MD, MSc, FASDIN; and Theodore H. Yuo, MD, MSc, FACS, FSVS

Urgent-Start Peritoneal Dialysis: Patient Selection and Procedural Considerations

An interventional radiologist’s guide to placement of urgent peritoneal dialysis catheters, an efficient, cost-effective, minimally invasive alternative to traditional surgical placement.

By Ahmed K. Abdel-Aal, MD, PhD; Mohamed Shahin, MD, PhD, MBA; Shahroz K. Aziz, MD; Husameddin M. El Khudari, MD; and Ammar Almehmi, MD, MPH

State of Dialysis Access and Current Challenges

Dr. Vandana Dua Niyyar discusses the current state of dialysis access and its challenges, essentials of a successful dialysis practice, device and therapy trends, the Transforming Dialysis Access Together initiative and its goals for education and training of fellows and dialysis access professionals, and ideals for the future of dialysis access.

With Vandana Dua Niyyar, MD, FASN, FNKF, FASDIN

Vascular Access Care in an Era of Increasingly Scarce Providers and Increasingly Complicated Patients

A case involving chronic venous occlusion in a patient with a recently constructed AV loop graft sheds light on the challenges with today’s dialysis access landscape.

By Kevin Onofrey, MD, and Xhorlina Marko, MD

What’s Your Approach?

By Herb Aronow, MD, MPH, FACC, MSCAI, MSVM

An Interview With Narayan Karunanithy, MRCS, FRCR, FCIRSE

Dr. Karunanithy discusses his multidisciplinary approach to vascular anomalies, trends in acute pulmonary embolism, what adult and pediatric interventional radiologists can learn from each other, and more.

An Interview With Flavia Gentile Johansson, MD

The Luxembourg-based vascular surgeon and breast oncology surgeon talks research priorities and innovation needs in dialysis care, efforts in introducing dialysis access and intervention skills to trainees, challenges practicing in a small country, and more.

Building a Comprehensive Dialysis Access Team

Essential elements for a multidisciplinary, patient-centered approach to dialysis access care.

By Ammar Almehmi, MD, MPH, and Ahmed K. Abdel-Aal, MD, PhD

Strategies for Cephalic Arch Stenosis

Experts tackle best practices for encountering cephalic arch stenosis, including when to intervene, tips for overcoming obstacles, must-have tools, and hopes for management of the future.

With Robert G. Jones, MRCP, FRCR; Allison Tan, MD; Robert Shahverdyan, MD; and Bharat Sachdeva, MD

Exploring Next Horizons

By Maureen P. Kohi, MD, FSIR, FCIRSE, FAHA, and Peter A. Schneider, MD

Ask the Experts: What Will Be the Next Game-Changer in Dialysis Access?

With Haimanot (Monnie) Wasse, MD, MPH, FASN, FASDIN; Neghae Mawla, MD; and Sanjay Misra, MD, FSIR, FAHA, FACR

Billing for Dialysis Access: Staying on the Right Side of the OIG

Dr. Abigail Falk discusses common errors in coding and billing for dialysis access procedures, areas of coding confusion, implications for incorrect billing, and recommendations for improvement.