Once your GFR (estimated percentage of kidney function) reaches about 25, RNA works with you to develop a treatment plan. You will be scheduled for our Options Class and then for Vessel Mapping with an ultrasound technician. Our specially trained Interventional Nephrologists will interpret the ultrasound images and measurements of the vessels in your arms to guide you in the treatment options available based on your unique situation.

Your nephrologist or nurse practitioner will review the information with you and then refer you for additional education, transplant evaluation, and/or to a surgeon in the next steps you have chosen.

Early detection and timely resolution of access dysfunction are critical to access preservation. Timely resolution leads to fewer missed dialysis treatments and a lower frequency of hospitalization. The most common dialysis access problem is the narrowing of the access, or the blood vessel attached to it. This narrowing, called stenosis, can lead to clotting of the access. If this happens, dialysis treatments will not be effective, and the access may eventually stop flowing.