Located in Iidabashi, Chiyoda-ku, Tokyo, Iidabashi Haruguchi Clinic is a vascular surgery clinic specializing in vascular access (shunt) management and treatment since its establishment in 2006. To maintain shunts in optimal condition—vital lifelines for hemodialysis patients—the clinic conducts regular ultrasound follow-ups and provides treatment at appropriate timing. For patients scheduled to begin dialysis, the clinic creates internal shunts (arteriovenous fistulas), while for patients already on dialysis, it addresses various shunt complications. The facility is equipped to perform both surgery and percutaneous transluminal angioplasty using balloon catheters. Emergency cases such as shunt occlusion are also handled, with treatments generally completed as day surgery. When post-operative hospitalization is required, a collaborative system with affiliated hospitals ensures patients can receive treatment with peace of mind. The medical director is a specialist physician with 20 years of vascular access experience at Tokyo Women's Medical University, providing highly specialized care backed by extensive clinical experience. The barrier-free facility demonstrates thoughtful consideration for visiting patients.