Discover the Advantages
of Percutaneous AV Fistula for Hemodialysis

If you're exploring options for dialysis access, a percutaneous arteriovenous fistula (pAVF) may provide an effective, minimally invasive alternative to traditional surgical fistula creation.

At Advanced Access Medical Care, we are proud to be among the first practices in the tri-state area to offer endovascular fistula creation using the Ellipsys® Vascular Access System. Our team has extensive experience in dialysis access care, having performed more than 250 Ellipsys pAVF procedures, helping patients avoid surgery and achieve reliable hemodialysis


The Benefits of PAVF for Hemodialysis

Unlike traditional surgical fistulas, which require an incision and operating room procedure, pAVF is created through a small needle puncture using ultrasound guidance. The procedure is performed in our outpatient vascular access center, allowing most patients to return home the same day.

Benefits of pAVF

  • No surgical incision and minimal scarring

  • No hospital admission or general anesthesia

  • Outpatient procedure performed in a comfortable setting

  • Faster recovery and quicker return to normal activities

  • Excellent functional outcomes with preservation of future access options

  • Reduced postoperative discomfort

  • A more natural fistula configuration, often associated with high patient satisfaction

No Surgical Incision Icon

No Surgical Incision

Avoid Hospital Stay Icon

Avoid a Hospital Stay

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Ready to Use in Shorter Time


Understanding the PAVF Process

During the pAVF procedure, a tiny catheter device guided by ultrasound serves to establish vascular access for hemodialysis. The entire procedure takes approximately 30 minutes. During your follow-up visit, you’ll receive an ultrasound examination of the fistula. If the fistula is matured, we will mark on your arm where the dialysis team should place your needles for hemodialysis.

Patients with Stage 4 or Stage 5 chronic kidney disease who are approaching the need for dialysis may be candidates for pAVF. Not every patient is anatomically suitable, but a simple ultrasound evaluation can determine whether this innovative option is right for you.

Our team works closely with nephrologists, dialysis centers, and patients to develop an individualized access plan focused on creating the right access, at the right time, with the best possible long-term outcomes.

If you or a loved one are considering dialysis access options, contact Advanced Access Medical Care to learn whether a percutaneous AV fistula is appropriate. Early evaluation allows us to maximize access choices and avoid prolonged catheter dependence.


Why You Should Choose Advanced Access Medical Care for PAVF

At Advanced Access Medical Care, we are at the forefront of dialysis access care, including the pAVF procedure. We are accredited by The Joint Commission. Our commitment to providing the highest level of quality service for our patients includes:

  • Same Day/Within 24-Hour Scheduling

  • Minimal Wait Time

  • Acceptance of Most Insurance Plans

Simply schedule an evaluation with Advanced Access Medical Care today to determine if you’re a good candidate for the pAVF procedure. We look forward to serving you!

Advanced Access Medical Care pAVF patient

Frequently Asked Questions


Schedule an Appointment

(718) 409-2007