Vascular Access & Procedures

Interventional Nephrology

Advanced procedural kidney care — AV Fistula creation, tunnelled Permcath placement, ultrasound-guided Renal Biopsy, and PD catheter insertion.

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Interventional Nephrology - Dr. Vishal Singh Swasth Kidney Clinic

31+

Years Experience

1,000+

Biopsies Performed

Expert

AV Fistula & Permcath

Ultrasound

Guided Precision & Safety

Overview

Comprehensive Care & Management

Interventional Nephrology is a specialized subdiscipline focused on performing diagnostic and therapeutic procedures essential for kidney disease management and dialysis vascular access. Having an experienced nephrologist directly perform these procedures ensures rapid access, fewer complications, and integrated clinical care.

Dr. Vishal Singh is highly skilled in the entire range of interventional nephrology procedures. From ultrasound-guided native and transplant kidney biopsies to permanent vascular access creation (AV Fistulas), tunnelled cuffed catheter insertions (Permcaths), and Tenckhoff peritoneal dialysis catheter placements, our clinic delivers exceptional procedural safety.

What We Treat

Arteriovenous (AV) Fistula Creation & Access Planning
Tunnelled Cuffed Dialysis Catheter (Permcath) Insertion
Ultrasound-Guided Native Kidney Biopsy
Transplant Allograft Kidney Biopsy
Tenckhoff Peritoneal Dialysis (PD) Catheter Placement
Temporary Haemodialysis Catheter (Jugular/Femoral) Insertion
Failing AV Fistula Surveillance & Salvage

Who Should Consult Us

CKD Stage 4–5 patients preparing for haemodialysis access (AV Fistula)
Patients with unexplained proteinuria, haematuria, or rising creatinine (Biopsy)
Patients needing immediate long-term dialysis access without a mature fistula (Permcath)
Transplant recipients with declining graft function or suspected rejection
Patients initiating home-based Peritoneal Dialysis (PD Catheter)

Care Pathway

How We Care For You

A structured, compassionate approach from initial consultation through diagnosis, specialized therapy, and long-term surveillance.

Pre-Procedural Assessment

Detailed vascular Doppler mapping, coagulation profile screening, and imaging review.

Ultrasound-Guided Technique

Real-time high-resolution sonography used for precise vessel cannulation and needle biopsy targeting.

Minimally Invasive Execution

Performed under local anaesthesia with minimal discomfort and rapid recovery.

Post-Procedure Monitoring

Structured observation and clear access-care guidelines to guarantee long-term patency and safety.

Conditions & Stages

Conditions We Manage

Personalized diagnostic and treatment pathways addressing specific stages and variations of kidney disease.

AV Fistula Creation

Radiocephalic or brachiocephalic surgical connection creating a durable, infection-resistant dialysis lifeline.

Tunnelled Permcath Insertion

Subcutaneous cuffed catheter placed into the internal jugular vein under fluoroscopy/ultrasound guidance.

Native Kidney Biopsy

Extracts microscopic renal tissue to diagnose glomerulonephritis, lupus nephritis, amyloidosis, and nephrotic syndrome.

Transplant Kidney Biopsy

Essential to distinguish between acute rejection, calcineurin toxicity, BK virus nephropathy, and recurrence.

PD Catheter (Tenckhoff) Placement

Surgically implanted catheter in the lower abdomen for home-based peritoneal dialysis.

Vascular Access Salvage

Timely identification and salvage of failing, stenosed, or pseudoaneurysmal dialysis access.

Why Dr. Vishal Singh

Renowned Clinical Leadership

With 31+ years of nephrology practice, military leadership, and academic fellowships, Dr. Vishal Singh delivers world-class, compassionate kidney care.

Academic & Clinical Authority

MBBS (AFMC Pune), MD, DNB, DrNB Nephrology, FASN (USA), FRCP (Edinburgh), FISN. Former Professor & HOD at Army Hospital (R&R), Delhi.

Pioneering Transplant Expertise

Over 1,000 kidney transplants performed — including blood group incompatible (ABOi), sensitized host, paediatric, and deceased donor transplants.

Evidence-Based Protocols

Implementation of modern guideline-directed therapies (SGLT2i, Finerenone, online HDF) backed by clinical evidence to maximize kidney longevity.

Full Procedural Suite

Access to complete interventional nephrology: ultrasound-guided renal biopsies, AV fistula creation, permcath insertion, and PD catheter placement.

Director & Unit Head at Max Hospital

Seamless continuity between outpatient clinic care at Greater Noida and advanced tertiary hospital facilities at Max Super Specialty Hospital, Vaishali.

Patient-Centred Philosophy

Transparent counselling, dietary and lifestyle education, and compassionate support tailored to every patient and their family.

FAQ

Frequently Asked Questions

Get clear, medically verified answers about diagnosis, treatment options, and disease progression.

Is a kidney biopsy painful or dangerous?

A kidney biopsy is performed under local anaesthesia using real-time ultrasound guidance, making it virtually painless. You will feel a minor sting from the numbing injection. The procedure is very safe, with a minor risk of temporary bleeding managed by resting after the procedure.

How long does an AV Fistula take to mature?

An AV Fistula typically requires 6 to 8 weeks to develop adequate blood flow and vein wall thickness before it can be safely used for dialysis needles. This is why access should be created well before starting dialysis.

What is a Permcath and how is it different from a temporary line?

A Permcath is a soft, tunnelled catheter with a Dacron cuff placed under the skin into the internal jugular vein. The cuff prevents bacteria from entering, allowing the catheter to stay in place safely for months to years, unlike temporary non-tunnelled lines.

How should I take care of my AV Fistula arm?

Never allow blood pressure checks, blood draws, or IV drips on your fistula arm. Avoid tight clothing or jewellery, do not sleep on the fistula arm, and check for the buzzing vibration (thrill) daily.

Take the first step toward better kidney health today.

Consult Dr. Vishal Singh at Swasth Kidney Clinic, Greater Noida or Max Hospital, Vaishali.

Book Appointment

Swasth Kidney Clinic is dedicated to delivering expert, compassionate, and advanced nephrology care to help every patient achieve the best possible kidney health.

Interventional Nephrology

Comprehensive Care & Management

How We Care For You

Conditions We Manage

Renowned Clinical Leadership

Frequently Asked Questions

Related Nephrology Services

Your best kidney health starts here—make your appointment today.

Your best kidney health starts here
—make your appointment today.