More than 700,000 patients in the U.S. are diagnosed with ESRD and require dialysis in order to live.

We offer a full range of minimally invasive, outpatient dialysis access management treatments for patients with End Stage Renal Disease (ESRD) who are on dialysis.

Clean, Clear, And Connected

Maintaining Vascular Access For Dialysis

All patients receiving hemodialysis require a permanent method of connection to remove toxins from their bodies. For those receiving hemodialysis, a graft or fistula, which join an artery and vein together, provides access for blood to flow to a hemodialyzer, where toxic waste is removed.

However, the connection point can get clogged or dirty, and that can reduce the effectiveness of dialysis treatments and cause serious infections. Fortunately, the team at Unique Interventional Radiology can help patients keep their dialysis access points clean and clear.

Proactive Management For Productive Results

  • Education for patients so they practice quality self-care
  • Ongoing monitoring of dialysis access points to avoid infection or treatment interruptions
  • Regular fistula and graft maintenance for effective dialysis

Helping Dialysis Patients Stay Healthy

Even when patients meticulously care for their grafts and fistulas, clotting or infection can occur. And these situations often require immediate attention to avoid a serious health crisis and to ensure patients can continue with their regularly-scheduled dialysis. Signs of a problem at the access points include swelling, redness, a sensation of warmth, and pain.

When fistulas and grafts become clotted and blood flow becomes restricted, our expert team of interventional radiologists performs minimally-invasive procedures to improve or restore blood flow.

Our procedures include:

  • Catheter-directed thrombolysis to dissolve blood clots
  • Catheter-directed mechanical thrombectomy to remove or break clots
  • Angioplasty and vascular stenting to open fistulas and keep them open
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Dialysis Access Management Overview

Patients with chronic renal failure need regular hemodialysis that performs the kidney’s job of ridding the body of toxic waste products, and to maintain fluid, electrolyte and acid-base balance. One of the greatest challenges facing patients and their doctors is keeping the vascular access fistula open for dialysis.

Benefits of Access Management Program

 

  • UPDATED, ONGOING EDUCATION FOR PATIENTS AND STAFF
  • ONGOING MONITORING OF THE DIALYSIS ACCESS
  • A HEALTHY ACCESS PROMOTES BETTER DIALYSIS TREATMENTS
Dialysis-miami-unique-interventional-radiology
hemodialysis Dialysis Access Services FISTULOGRAM ANGIOPLASTY ARTERIAL STENTING miami aventura
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F.A.Q. About Access Management Program

WHAT IS THE ACCESS MANAGEMENT PROGRAM?

 It is a educational program on the care and maintenance of your access. We provide you with education and inspection techniques that will help you maintain the access health.

WHY IS ACCESS MANAGEMENT IMPORTANT?

Access Management will make you feel better! Every access must be kept healthy with good blood flow to ensure you maximize the benefits of your dialysis treatments.

The Access Management Program includes:

  • Education on access types and options by our nursing staff and physicians
  • Regularly scheduled office visits with our physicians
  • Active ultrasound surveillance plan throughout the year specifically designed for you
  • Assisting you with ongoing care and maintenance, and review of the do’s and don’ts of access care

How to join:
Tell your nephrologist or our staff that you want to join the Access Management team and we will get you started.

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Educating yourself is great, but every patient is different. Don’t hesitate to contact us and request an appointment.

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Every patient is different, we recommend you meet with a Doctor to discuss treatment options.

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Dialysis Services

Fistulogram

This diagnostic procedure uses a form of real time x-ray called fluoroscopy, which helps monitor the function of a dialysis graft or fistula. This procedure consists of an interventional radiologists injecting a dye in the patient, which allows them to carefully examine the flow of blood from the arterial anastomosis to the central circulation system. This is very effective in identifying any problems in the vascular system that are associated with the fistula or graft. This procedure may be an option for patients that have prolonged bleeding, cannulation difficulties, weak thrill or bruit, high venous pressures and/or low flow rates.

Fistulogram

This diagnostic procedure uses a form of real time x-ray called fluoroscopy, which helps monitor the function of a dialysis graft or fistula. This procedure consists of an interventional radiologists injecting a dye in the patient, which allows them to carefully examine the flow of blood from the arterial anastomosis to the central circulation system. This is very effective in identifying any problems in the vascular system that are associated with the fistula or graft. This procedure may be an option for patients that have prolonged bleeding, cannulation difficulties, weak thrill or bruit, high venous pressures and/or low flow rates.

Angioplasty

If a physician determines that there is decreased blood flow caused by narrowing of the vein (stenosis), an angioplasty procedure is performed on the dialysis access site. During this procedure, a physician placed a catheter balloon across the area of concern in order to expand the vein and dilate to increase blood flow. The duration of this procedure is generally 30 minutes and immediately after, the hemodialysis access is ready for use at the dialysis center.

Angioplasty

If a physician determines that there is decreased blood flow caused by narrowing of the vein (stenosis), an angioplasty procedure is performed on the dialysis access site. During this procedure, a physician placed a catheter balloon across the area of concern in order to expand the vein and dilate to increase blood flow. The duration of this procedure is generally 30 minutes and immediately after, the hemodialysis access is ready for use at the dialysis center.

Arterial Stenting

In cases where a balloon angioplasty is unable to achieve a satisfactory treatment of a stenosis (narrowing of the vein or adjacent artery), a peripheral arterial stenting may be in order. In this procedure, covered stents (metal tube placed in the vein or artery to keep optimal blood flow) can be used when a vein is too weak. It helps repair the specific areas of injury, also known as extravasations. Stents have been used for a very long time and are proven effective, however, they do require maintenance. All in all, this is a safe procedure designed to optimize the overall lifestyle of a dialysis patient.

Arterial Stenting

In cases where a balloon angioplasty is unable to achieve a satisfactory treatment of a stenosis (narrowing of the vein or adjacent artery), a peripheral arterial stenting may be in order. In this procedure, covered stents (metal tube placed in the vein or artery to keep optimal blood flow) can be used when a vein is too weak. It helps repair the specific areas of injury, also known as extravasations. Stents have been used for a very long time and are proven effective, however, they do require maintenance. All in all, this is a safe procedure designed to optimize the overall lifestyle of a dialysis patient.

Thromboembolectomy

A thromboembolectomy is a procedures that is used to perform the clearing of a blood clot that may have formed at or around a dialysis access site. It is the combination of two procedures, a balloon embolectomy and a thrombectomy. Here, an interventional radiologist uses minimally invasive techniques to dissolve the clot, sometimes with the help of a medication, known as TPA. Afterwards, a balloon embolectomy helps pull out the clot and allows the function of the fistula or graft, to be restored.

Thromboembolectomy

A thromboembolectomy is a procedures that is used to perform the clearing of a blood clot that may have formed at or around a dialysis access site. It is the combination of two procedures, a balloon embolectomy and a thrombectomy. Here, an interventional radiologist uses minimally invasive techniques to dissolve the clot, sometimes with the help of a medication, known as TPA. Afterwards, a balloon embolectomy helps pull out the clot and allows the function of the fistula or graft, to be restored.

Vessel Mapping

Sometimes, a doppler study is needed to help a physician evaluate the blood flow of a patient’s veins and arteries, prior to the placement of a fistula. This test is able to depict the blood going through your blood vessels, using ultrasound waves. This helps the physician to create a “road map” of your arteries and veins.

Vessel Mapping

Sometimes, a doppler study is needed to help a physician evaluate the blood flow of a patient’s veins and arteries, prior to the placement of a fistula. This test is able to depict the blood going through your blood vessels, using ultrasound waves. This helps the physician to create a “road map” of your arteries and veins.

Central Venous Access Placement

This procedures is usually performed for patients that need a catheter for dialysis during the interval period when a fistula is to be matured. Often times it is also used when the dialysis need is more important that actually fixing the graft or fistula. Here, an interventional radiologist places a catheter in a patient’s groin or neck using an ultrasound for imaging guidance. During this procedure, the doctor can also treat the catheter if it gets blocked due to blood or fibrin deposits. Oftentimes, medication is used in conjunction to help dissolve the blood or fibrin. Alternatively, the clot can be removed mechanically.
.

Central Venous Access Placement

This procedures is usually performed for patients that need a catheter for dialysis during the interval period when a fistula is to be matured. Often times it is also used when the dialysis need is more important that actually fixing the graft or fistula. Here, an interventional radiologist places a catheter in a patient’s groin or neck using an ultrasound for imaging guidance. During this procedure, the doctor can also treat the catheter if it gets blocked due to blood or fibrin deposits. Oftentimes, medication is used in conjunction to help dissolve the blood or fibrin. Alternatively, the clot can be removed mechanically.
.

Google Reviews, Directions, UIR, IMG

Google Review (Angela)

“I must say, the show stopper was Dr. Linda Hughes, who leads this elite team to total success! Dr. Hughes is definitely the right person in her role. She embodies compassion, respect, integrity, and exemplary care. Thank you, Dr. Hughes, for being the best conduit used for miracles to be performed!”
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Google Review (J. Perez)

“I had a great experience, new facility with all new equipment, and a great doctor from Harvard, here in Miami. Dr Roizental is a great compassionate doctor”
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Dania Bernard

Upon confirming an outpatient procedure for my dad, the team at Unique Interventional Radiology took such good care of us. The receptionist scheduled a Lyft for my dad to make it to his appointment and treated him with kindness and respect. I’ll happily recommend Dr. Hughes and her team to anyone needing their services.
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A. Benzaquen (Patient)

Outstanding medical service. New high-tech facility with excellent doctors. Recommended 100%.
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Richard

Most respectful place and great service, I was made a sandwich it’s clean front desk ladies are terrific friendly outgoing professional ladies, my nurses were very attentive procedure techs are wonderful. Dr Hughes you’re the best physician ever. SHARP AS A TACK
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Google Review (S. Brown)

Doctor Roizental’s facility was great. Clean, professional and took care of me quickly.

Meet Our Team

Unique-Interventional-Radiology,-Dr.-Moises-Roizental,-Dialysis-Access,-North-Miami

Moises Roizental

MD FSIR

Dr. Roizental is a Board Certified Vascular and Interventional Radiologist, with over 20 years experience in endovascular procedures. (Former chief resident at Harvard Medical School)

Learn More About Our Team

ASK THE DOCTOR A QUESTION
Unique-Interventional-Radiology,-Dr.-Moises-Roizental,-Dialysis-Access,-North-Miami

Linda Hughes

MD
Linda Anne Hughes, MD is a board certified Vascular and Interventional Radiologist with more than twenty years experience. (Former Chief Resident at Beth Israel Deaconess Medical Center, Harvard Medical School)

Learn More About Our Team

ASK THE DOCTOR A QUESTION

See a Doctor from home with an online doctor visit

back pain, vertebral compression, Miami, Fibromas, north Miami beach, aventura, Chat, Medicine

SPEAK WITH A DOCTOR ON YOUR COMPUTER OR MOBILE DEVICE

  • Sometimes, it’s hard to get to one of our offices.
  • Schedule a time that is convenient for you.
  • Avoid travel time and waiting rooms.
  • Connect through a trusted video chat platform for medicine.
  • One of our doctors will be able to answer all of your questions.

Request your online consultation

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See a Doctor from home with an online doctor visit

back pain, vertebral compression, Miami, Fibromas, north Miami beach, aventura, Chat, Medicine

SPEAK WITH A DOCTOR ON YOUR COMPUTER OR MOBILE DEVICE

  • Sometimes, it’s hard to get to one of our offices.
  • Schedule a time that is convenient for you.
  • Avoid travel time and waiting rooms.
  • Connect through a trusted video chat platform for medicine.
  • One of our doctors will be able to answer all of your questions.

Request your online consultation

Telemedicine Consultation Form
Opt-In

40+ YEARS COMBINED EXPERIENCE

Our 2 physicians have over 40 years experience in vascular care among the 2 of them.

ADVANCED TECHNOLOGY

We utilize only the most advanced technology in the industry.

Safe & Effective Treatments

The procedures and treatments we perform our minimally invasive, yet very effective.

Enhanced Patient Care

Our commitment to patient care is truly unparalleled.
Dialysis-miami-Unique-Interventional-Radiology-

The Access Management Program includes:

  •  Education on access types and options by our nursing staff and physicians
  • Regularly scheduled office visits with our physicians
  • Active ultrasound surveillance plan throughout the year specifically designed for you
  • Assisting you with ongoing care and maintenance, and review of the do’s and don’ts of access care

How to join:
Tell your nephrologist or our staff that you want to join the Access Management team and we will get you started.

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AVOID A HYSTERECTOMY WITH FIBROID EMBOLIZATION

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GET RID OF YOUR SPIDER OR VARICOSE VEINS WITH SCLEROTHERAPY

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LEG PAIN, NUMBNESS, OR WEAKNESS COULD BE PERIPHERAL ARTERY DISEASE

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HAVE YOU HEARD OF INTERVENTIONAL ONCOLOGY TREATMENT?

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