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Interventional Nephrology is a subspecialty of nephrology that focuses on performing minimally invasive procedures to diagnose and treat conditions related to kidney disease, dialysis access, and related complications. It bridges the gap between traditional nephrology and surgical interventions, often offering patients faster, safer, and more cost-effective care—especially those on hemodialysis or peritoneal dialysis. 🔍 Key Areas of Interventional Nephrology Vascular Access Procedures Tunneled Dialysis Catheter Placement/Removal AV Fistula and Graft Angioplasty Thrombectomy (removal of clots from AV fistulas or grafts) Fistulogram/Venogram (imaging studies of the vascular access) Dialysis Catheter Management Exchange, repositioning, and troubleshooting of malfunctioning catheters. Peritoneal Dialysis (PD) Interventions Placement and removal of PD catheters. Management of PD catheter dysfunctions. Ultrasound and Fluoroscopy Use Real-time imaging guidance improves accuracy and safety. Biopsies Kidney biopsies performed under imaging guidance. ✅ Benefits of Interventional Nephrology Reduced dependence on radiology and surgery departments. Faster procedure times and scheduling. Enhanced continuity of care by nephrologists. Improved patient satisfaction and outcomes. 🧠 Training & Certification Interventional nephrologists usually undergo: Nephrology Fellowship + additional training or mini-fellowships in interventional techniques. Certification may be obtained through organizations like the American Society of Diagnostic and Interventional Nephrology (ASDIN).