Interventional nephrology focuses on the procedures that make dialysis and kidney diagnosis possible and safe. It includes creating and maintaining dialysis access, placing dialysis catheters, taking kidney biopsies and treating narrowed kidney arteries. Because a dialysis patient depends on a working access every week, protecting that access is one of the most important parts of long-term kidney care.

As a kidney hospital in Mumbai with dialysis, imaging and vascular support in one network, Apex plans these procedures with the nephrologist and, where needed, vascular and radiology colleagues. Imaging guidance is used where required. Each procedure carries its own risks, such as bleeding, infection, clotting and the need for repeat intervention, and these are explained before consent. Patients on dialysis are advised to protect their access arm and to report redness, swelling, pain or a change in the buzzing felt over the access.

Apex provides the following interventional nephrology services:

• Kidney Biopsy: Apex performs a percutaneous needle biopsy of the kidney to diagnose the cause of unexplained kidney disease.
• Dialysis Catheter Placement: Apex performs percutaneous cannula and central venous catheter placement for dialysis.
• Dialysis Access Surgery: Apex supports the creation of arteriovenous fistulas and grafts for long-term haemodialysis.
• Renal Artery Procedures: Apex performs renal angiography and, where needed, angioplasty and stenting for narrowed kidney arteries.