Interventional Vascular Services with/Dialysis Complications Veterans Administration New York Harbor and Brooklyn New York Campus

The Contractor will perform vascular access procedures to repair failed fistulas or grafts with the goal of restoring patency in dialysis patients on an outpatient basis who are referred through Nephrology Section, VA NYHHS. An arteriovenous (AV) fistula or graft is a conduit between an artery and a vein that may be surgically created to facilitate dialysis. Due to infection or other factors, a fistula or graft may become occluded, partially or totally, or clotted, compromising dialysis. Treatment of the fistula or graft by open surgical repair, reconstruction or replacement or insertion of a catheter for temporary access exposes the patient to risks associated with surgery, hospitalization, infection, and other negative impacts. These may be avoided by means of nonsurgical interventional vascular access procedures to maintain or restore access patency, which can be performed on an outpatient basis. Capacity to perform these procedures at VA NYHHS is limited. Due to the need to maintain dialysis schedules and avoid surgery and other complications that arise when dialysis access is lost or occluded, it is sometimes impossible or inadvisable to schedule patients to be treated at VA NYHHS within the time frames required for patient care needs. A contract is needed to make these services available for dialysis patients when other options cannot be used.