Your browser is out of date
With an updated browser, you will have a better Medtronic website experience. Update my browser now.
The Ellipsys vascular access system offers a fast, nonsurgical approach to AV fistula creation, using heat to fuse the artery and vein together during a procedure that usually takes 30 minutes or less.2
To perform hemodialysis, the doctor needs a way to safely and repeatedly access your bloodstream. This point of access allows your blood to be cleaned by a dialysis machine and then returned to you. The most common access point for hemodialysis is an arteriovenous (AV) fistula. If your doctor recommends this option, it is important to know there are two ways to create an AV fistula.
Using the Ellipsys system, 98.4% of patients have a working fistula at three months2
Using the Ellipsys system, 92% of patients have a working fistula at five years5
This procedure is not for everyone. Please talk to your doctor to see if it is right for you. Risks may include total/partial occlusion or stenosis of the anastomosis, failure to achieve fistula maturation, Steal Syndrome, hematoma, infection, and need for vessel superficialization or other maturation assistance procedures. Although many patients benefit from the use of this device, results may vary. Your doctor should discuss all terms, potential benefits, and risks with you.
Getting a nonsurgical AV fistula with the Ellipsys system follows four stages.
A simple in-office test (ultrasound imaging) can determine if you are a good candidate for an endovascular AV fistula.
The minimally invasive procedure using the Ellipsys system usually takes 30 minutes or less to perform.2
Follow-ups over a six-week period help establish if the AV fistula is mature enough to support hemodialysis.
Cannulation occurs when the AV fistula is ready to allow regular hemodialysis.
There are six steps in the procedure:
Our doctor discussion guide can help you talk about treatment options with your doctor.
Shahverdyan R, Beathard G, Mushtaq N, et al. Comparison of Ellipsys Percutaneous and Proximal Forearm Gracz-Type Surgical Arteriovenous Fistulas. Am J Kidney Dis. October 2021;78(4):520–529.e1.
Hull JE, Jennings WC, Cooper RI, Waheed U, Schaefer ME, Narayan R. The Pivotal Multicenter Trial of Ultrasound-Guided Percutaneous Arteriovenous Fistula Creation for Hemodialysis Access. J Vasc Interv Radiol. February 2018;29(2):149–158.e5.
Arteriovenous Fistula (AV Fistula). University of Utah Health. Available at: https://healthcare.utah.edu/cardiovascular/treatments/arteriovenous-fistula. Accessed October 5, 2023.
Mallios A, Bourquelot P, Franco G, et al. Mid-term results of percutaneous arteriovenous fistula creation with the Ellipsys vascular access system, technical recommendations and an algorithm for maintenance. J Vasc Surg. December 2020;72(6):2097–2106.
Hull JE, Jennings WC, Cooper RI, Narayan R, Mawla N, Decker MD. Long-term results from the pivotal multicenter trial of ultrasound-guided percutaneous arteriovenous fistula creation for hemodialysis access. J Vasc Interv Radiol. October 2022;33(10):1143–1150.