Expert Evaluation of Dialysis Access at IVIRA
At Integrated Vascular & Interventional Radiology Associates of Pittsburgh (IVIRA), we provide advanced Diagnostic AV Fistulograms to assess the function and integrity of arteriovenous (AV) fistulas and grafts used for dialysis. If you're experiencing issues with your dialysis access, a fistulogram offers real-time, high-resolution imaging that allows us to identify and treat complications quickly and effectively—all in one visit.
85%
Optimal function at 1 year
(60% for surgery AV fistula)
4-6
Weeks maturation rate
(6-9 week for surgery AV fistula)
1
Intervention every 3 years
3.3%
Aneurysm formation
(10% in surgical)
What Is a Diagnostic AV Fistulogram?
A Diagnostic AV Fistulogram is a minimally invasive imaging study used to evaluate the health and performance of an AV fistula or graft. Using a small amount of contrast dye and fluoroscopy (real-time X-ray), we examine blood flow, identify narrowing (stenosis), blockages, clots, or other issues that could impact dialysis efficiency.
This test is commonly used when patients experience:
-
Difficulty with dialysis needle insertion
-
Poor blood flow during dialysis sessions
-
Swelling, pain, or prolonged bleeding around the access site
Why Choose IVIRA for Your Fistulogram in Pittsburgh?
As one of the region’s leading interventional radiology centers, IVIRA offers expert dialysis access evaluation and intervention under one roof. Our board-certified radiologists use advanced techniques and state-of-the-art imaging to deliver precise results with a compassionate approach.
Benefits of getting a fistulogram at IVIRA:
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Performed by experienced vascular specialists
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Fast, accurate diagnosis in an outpatient setting
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Option for same-day treatment (angioplasty, thrombolysis, or stenting)
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Coordination with your nephrologist and dialysis center
Serving patients across Pittsburgh, Mt. Lebanon, Cranberry Township, and Monroeville
What to Expect During the Procedure
You’ll be positioned comfortably in our vascular suite, and local anesthesia will be used to numb the area. A small catheter is inserted into the access site (fistula or graft), and contrast dye is injected to visualize blood flow.
If any issues are detected—such as narrowing, clotting, or blockages—our team can often treat them immediately through:
- Balloon angioplasty
- Mechanical thrombectomy
- Stent placement
The entire procedure typically takes 30–60 minutes, and most patients return home the same day.
Aftercare and Follow-Up
Recovery is quick with minimal restrictions. We provide clear instructions on how to care for the site and coordinate closely with your dialysis team to ensure your access remains functional and reliable.