Bedside procedures by the same doctor who treats you.
Catheters, biopsies, fistula checks, plasmapheresis and SLEDD/CRRT — performed by your nephrologist, not referred out to a separate team.
Procedures kept inside nephrology.
Interventional nephrology is a branch of kidney care where the nephrologist performs the procedure rather than handing you off to another specialist. Using ultrasound and image guidance, the same doctor who knows your case inserts dialysis catheters, takes kidney biopsies, evaluates AV fistulas, and starts advanced therapies like plasmapheresis and SLEDD/CRRT. This shortens the path from problem to fix, reduces complications and keeps decisions with the person who already knows your kidney history. Dr. Saurabh Vashishtha leads the interventional nephrology programme across Renacare centres, with Dr. Bhatt supervising the procedure planning for complex cases.
The full bedside stack.
AV fistula creation
Planned, ultrasound-mapped arteriovenous fistula creation by an experienced vascular surgeon under a nephrologist-led plan. Maturation surveillance weekly for the first month.
Dialysis catheters
Permcath (tunnelled, long-term), temporary HD catheters and PD catheters — inserted under real-time ultrasound, in a sterile setup, by senior nephrologists.
Kidney biopsy
Ultrasound-guided percutaneous biopsy. 20-minute procedure, 6-hour observation. Renal pathology report in 5-7 days. Done by senior operators only.
Plasmapheresis
For Guillain-Barré, anti-GBM disease, antibody-mediated rejection, TTP and ABO-incompatible transplant prep. Started same-day when time matters.
SLEDD & CRRT
Sustained low-efficiency dialysis and continuous renal replacement therapy for unstable patients in ICU — bedside, under nephrology cover, not handed to intensivists.
Therapeutic plasma exchange (TPE)
For severe vasculitis, recurrent FSGS post-transplant, hyperviscosity syndromes and complex antibody-driven disorders.
Body composition monitoring (BCM)
Bioimpedance-based dry weight measurement. Reviewed monthly for maintenance dialysis patients — fewer cramps, fewer hypotensive episodes.
Fistula salvage & angioplasty
Maturation problems, stenosis and early failure assessed with ultrasound flow studies. Salvage procedures coordinated with our vascular surgery partners.
What makes the procedures safer here.
Same nephrologist, full chain
The doctor who diagnoses is the one who places the catheter or does the biopsy. No second referral, no second wait, no context loss between specialists.
Ultrasound-guided
Every access procedure uses real-time imaging — safer, faster, fewer attempts. The needle goes exactly where intended on the first attempt.
Strict aseptic protocol
Sterile drape, single-use trays, antibiotic prophylaxis where indicated. Infection rates are tracked monthly and audited quarterly.
Integrated with dialysis and ICU
If you need an SLED line or emergency catheter, the team is already on site. No inter-hospital transfers, no second admission.
A day-care procedure, in plain language.
Most procedures are day-care. You arrive fasting (if sedation is needed), have IV access placed, and the procedure takes 30-60 minutes. Local anaesthetic for catheters and biopsies, light sedation only if you ask for it. Two hours of observation, then home with a written care sheet, antibiotic plan if needed, and a 48-hour check-in call. For biopsies, observation extends to 6 hours flat in bed. For plasmapheresis sessions, plan 2-3 hours per session and 5-7 sessions over 10-14 days for most antibody-driven conditions.
If you are critically ill in an ICU, SLEDD or CRRT is started bedside in the partner hospital ICU, under the same Renacare nephrology team that would treat you if you came in elective. No specialist changes mid-treatment.
Questions before booking a procedure.
The nephrologist sees the full picture — your dry weight, blood pressure trends, prior access history, lab numbers. That context shapes where they place the catheter, which vein they choose, and how they manage you after. A one-off operator does not have that context.
Yes for catheter insertions and biopsies. Real-time imaging means the needle goes exactly where intended on the first attempt, which lowers the risk of bleeding, pneumothorax or arterial puncture.
Catheter insertions, fistula evaluation and ultrasound are routine across all centres. Biopsies and PD catheter placement are done at the Sector 37 Noida hub and selected partner hospitals. We book the right venue when you call.
Dialysis removes small molecules — toxins, salt, extra water. Plasmapheresis removes much larger molecules — antibodies, immune complexes, abnormal proteins. The machines look similar but the filters and replacement fluids are different, and the goal is different.
For SLEDD, CRRT and plasmapheresis on an admitted patient, a Renacare nephrologist can be called for a second opinion or to take over the case. We coordinate with the admitting team — no admission transfer needed.
Talk to a senior nephrologist — today.
Whether you need a second opinion, are starting dialysis, or want to discuss a home option for a parent — we'll route you to the right consultant fast.