Hemodialysis Access & Procedures

Advanced Vascular Access Care in Arcadia, Pasadena, Glendale & the San Gabriel Valley

At Kronson Vein Institute, we understand that patients living with advanced kidney disease rely on safe, dependable access for hemodialysis. The creation and maintenance of a functional vascular access point is essential for effective treatment, long-term comfort, and improved quality of life.

Located in Arcadia and proudly serving the San Gabriel Valley — including Pasadena, Glendale, Monrovia, Temple City, and surrounding communities — our practice is led by Dr. Jeffrey Kronson, a board-certified vascular and endovascular surgeon with 20+ years of experience. Over his career, he has successfully treated thousands of patients, providing compassionate and highly specialized vascular care.

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Why Kronson Vein Institute?

Markets Served

Arcadia • Pasadena • Glendale • San Gabriel Valley

Years in Practice

Dr. Kronson: 20+ years

Patient Volume

Thousands of patients successfully treated

Patient receiving treatment for venous disease at Kronson Vein Institute
Before treatment for venous disease
Twisted and swollen varicose veins on a patient’s ankle Vein treatment in Arcadia

What Is Hemodialysis Access?

Hemodialysis requires a reliable way for blood to travel from the body to the dialysis machine and back again. This is achieved through a surgically created access site, designed to allow high blood flow and repeated use.

Dr. Kronson provides comprehensive evaluation and treatment for all major types of hemodialysis access:

Types of Dialysis Access:

  • Arteriovenous (AV) Fistula
     The preferred access type — created by connecting a vein to an artery.

    • Longest-lasting option

    • Lowest infection risk

    • Best overall reliability for dialysis

  • Arteriovenous (AV) Graft
     A synthetic tube connecting an artery and vein.

    • Ideal when veins are not suitable for a fistula

    • Matures more quickly

    • Reliable and commonly used

  • Tunneled Dialysis Catheter
     A flexible tube placed into a central vein, typically used for temporary or urgent access.

    • Immediate use

    • Higher infection risk

    • Short-term solution until fistula/graft can be used

Dr. Kronson works closely with nephrologists and dialysis centers to ensure each patient receives the most appropriate access type for their health and lifestyle.

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When Hemodialysis Access Procedures Are Needed

 

You may require hemodialysis access creation or revision if you have:

 

  • Chronic kidney disease approaching end-stage renal failure
  • Difficulty achieving adequate dialysis due to poor access function
  • Pain, swelling, or decreased flow in an existing access
  • Repeated catheter infections
  • A failing AV fistula or graft
  • Urgent need for dialysis treatment

Access creation before dialysis is essential to avoiding infection, catheter complications, and treatment delays. Book your evaluation today.

Benefits of a Well-Functioning Dialysis Access

 

Benefit

   What You Can Expect

Reliable Dialysis Treatment

   Allows consistent, effective filtration.

Reduced Infection Risk

   Especially with AV fistulas and AV grafts.

Long-Term Durability

   Properly created access sites can last for years.

Improved Comfort & Efficiency

   Faster blood flow and fewer complications.

Fewer Catheter-Related Issues

   Avoids the risks of long-term central lines.

 

Our team ensures each patient receives access that is reliable, functional, and optimized for long-term dialysis success.

Hemodialysis Access

How Hemodialysis Access Procedures Work

1. Pre-Procedure Ultrasound Mapping

Vein and artery assessment helps determine whether a fistula or graft is the best option.

2. Anesthesia for Comfort

Local or regional anesthesia keeps the procedure comfortable and safe.

3. Access Creation

  • Fistula: The artery and vein are surgically connected.

  • Graft: A synthetic graft is placed between artery and vein.

  • Catheter: For urgent use, a tunneled catheter is inserted into a large central vein.

4. Access Maturation

Fistulas typically take weeks to mature; grafts may be ready sooner.
 Catheters work immediately but are temporary.

5. Ongoing Monitoring

Ultrasound, physical exam, and dialysis feedback ensure the access remains strong and functional. Book an evaluation today

Why Patients Choose Kronson Vein Institute

  • Board-certified vascular & endovascular surgeon
  • 20+ years of advanced vascular access experience
  • Thousands of dialysis patients successfully treated
  • Collaborative care with nephrologists & dialysis centers
  • Expertise in fistula creation, graft placement, and access salvage
  • State-of-the-art vascular imaging and surgical tools
  • Compassionate, patient-centered care
  • Convenient Arcadia clinic serving the San Gabriel Valley

Our goal is to provide dependable access and exceptional care — allowing every patient to feel supported, empowered, and confident in their treatment.

 

Kronson's expert medical team
Vein conditions in Arcadia by Kronson Vein Institute

What Patients are saying about Endovenous Laser Therapy (EVLT)

4.9 Stars | 73 Reviews

Lolo L.
Lolo L.
yelp | Lolo L. Monterey Park, CA 0115 | Jul 8, 2025
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Dr. Kronson and his team have provided excellent care during my treatment for leg pain. He ensures I'm comfortable during injections, addressing my fears and making the process easier. The ultrasound specialist is also very supportive, allowing me to use my headphones and pillow for added comfort. The staff is always polite and welcoming, and I appreciate their efficient service. I highly recommend their amazing team to anyone needing similar treatment. I'm more than halfway through and look forward to the results!
Steven C.
Steven C.
yelp | La Puente, CA

3050 | Aug 25, 2022
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Dr. Kronson and his staff are very professional and caring. I received treatment for venous insuffiency on my right leg first and later on my left leg. I no longer suffer from the condition that was treated for. Dr. Kronson, Angela, and Clyde are very attuned to the needs of their patients. You follow their instructions and you will get the results you are seeking. I heartily recommend this practice!
Sam D.
Sam D.yelp | La Cañada Flintridge, CA 02011 | Oct 27, 2021
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Dr.J. Kronson literally gave me my life back....!
The best vascular Doctor in Arcadia and surrounding areas. I have been to many but none has taken care of me like Dr. Kronson.
I have been suffering with all sorts of leg issues for the last four years and have given up hope until I came across Dr. Kronson. I have been unable to walk, sit, stand for more than 15 minutes at a time. I have had such severe pain and restless leg syndrome at night and hardly slept. I have gained so much weight and have literally given up hope.This is to name a few and the list goes on and on.

I have had 5 procedures on each leg a total of 10 between July & October 12 was my last post op visit. I felt the difference in my legs after each procedure.
It has been 2 weeks since my last visit and I am able to sit, stand, walk and sleep without any pain. I did my first walk at the rose bowl and I cannot express the gratitude!!
Dr.Kronson does all procedures himself and is professional and has the best bed side manner when dealing with his patients.
If you have any vascular issues I Highly recommend Dr. Kronson.

His staff makes you feel like you are family and his office manager Angela is an absolutely Gem. She takes care of you on arrival and is a woman of her word. I have yet to come across an office like this one.
Clyde who does all the ultrasounds is such a gentleman and not to forget Tristan who is a pleasure to see when you first walk through the door.

Thank You Doctor Kronson from myself and my entire family you are amazing at what you do!!!!!
Sincerely
Salma & Family

Thank you Angela... you Rock!
Joetta Ewing
Joetta Ewinggoogle | Arcadia, CA | a year ago
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My varicose veins were a problem for me for many years. My plan was to work through the pain but when my doctor suggested seeing Dr Kronson, I found relief. Office staff is the best! Dr Kronson is deserving of a ten star review!
MARTHA
MARTHALayline | 5/8/2025
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After I recently returned to Dr. Kronson Vein Institute for treatment on my second leg and experiencing amazing success with the first. I can't express how grateful I am for the care and attention I've received. Every staff member is not only professional but also compassionate. Making me feel valued as well as respected. The team genuinely cares about their patients and goes above and beyond to ensure comfort during every visit. The office is consistently prompt with appointments and very thorough in their procedures. I also appreciate the recent updates to the office, including fresh paint and a welcoming feng shui, which definitely enhances the overall experience. I will always give them the highest rating possible and recommend them to others. The staff, especially the ultrasound specialist treats me like family, and I couldn't be happier with the outcome of my treatments. Appreciate you all with maximum gratitude. Thank you for love and care given
LOREN L
LOREN L
Layline | 10/22/2025
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Dr. Kronson and his team have provided excellent care during my treatment for leg pain. He ensures I'm comfortable during injections addressing my fears and making the process easier. Clyde the ultrasound specialist is also very supportive allowing me to use my headphones and pillow for added comfort. The staff is always polite and welcoming with a smile and I appreciate their efficient service
MARIA R
MARIA R
Layline | 4/12/2025
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My sister is getting vericose treatment Laser and Varithena. Dr Kronson is the most caring physician! Explains the procedure very clearly. Angela Lucero are kind helpful and friendly!Everyone is awesome! I highly recommend Dr Kronson.
VALERIE C
VALERIE CLayline | 5/23/2025
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The Nurse and Doctor did a very good job explaining to me about my condition and the treatment I would receive. Office staff was very friendly and helpful.
TOMMY D
TOMMY DLayline | 5/10/2025
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All I have to say is I saw very good result on my leg use to get itchy red and inflammation on my leg have holes and skin color very dark spot every were it was a mess always ankle feet swollen and lumps on here and there.after last procedure is verithena about a month I saw good result got smaller color got lighter no more itchy or swallon no more heaviness when I'm standing.i have water lumps on the skin don't know why but niwcus all gone I'm very happy.staff is excellent and friendly .doctor are very carefull on every procedure he does. He cares about his patient and very carefully on his job.i recommend my mother inlaw here I was refer from a friend here. I'm still working on my left lef leg.5.09.2025 I was there with my mother in law while I'm doing procedure on my leg
DENETTE T
DENETTE TLayline | 12/17/2024
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I had a procedure done on 12/12/24 with Dr. Kronson. Dr. Kronson and his team explained everything that was going to take place during the procedure. Everyone treated me with great kindness & care. Making sure I was comfortable along the way. I would recommend Dr. Kronson to anyone in need of medical assistance. His staff at his office are very friendly & professional. Always making you feel welcome!
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Schedule a Hemodialysis Access Consultation

If you need dialysis access evaluation, creation, or repair, we are here to help.
Early planning results in safer, more effective dialysis treatment.

Call us or request an appointment online to schedule your consultation with Dr. Kronson.
We look forward to supporting your long-term health, comfort, and quality of life.

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