Dialysis AV Fistula Creation
AV Fistula (Arterio-venous Fistula) is a lifeline for all kidney failure patients requiring Hemodialysis.
| What is AV Fistula? | |
AV fistula is a connection made between artery & vein of forearm/arm by a Vascular specialist. No additional tubing/implant is introduced inside body. By creating this connection, vein gets wider & stronger. Dialysis can easily be done by putting needles in this large vein. 3 Types of AV Fistula
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| Why AV fistula for all kidney failure patients? | |
| Traditional hemodialysis catheters/lines lasts only for a month or so, can get blocked or infected. AV-fistula has least chances of infection / blockage, allows large area to puncture for dialysis needles. Hence it’s the safest & mandatory option for dialysis access. | |
| When should I get AV fistula surgery done? | |
| Immediately after your nephrologist’s advice. Ideal time is 6 months before expected first dialysis, so that vein gets adequate time to become large & strong. | |
| How the procedure is performed? | |
| Small skin cut is placed over forearm/arm. Artery & veins are connected by micro sutures. | |
| Duration of procedure? When can I take discharge? | |
| 45 minutes procedure time. You can get admitted in morning & take discharge by late afternoon. | |
| When can I restart my routine & office work? | |
| You can attend your work from next day of surgery without any discomfort. | |
| When can dialysis be started from AV Fistula? | |
| After 6 weeks of surgery. | |
| What precautions do I need to take after undergoing AV fistula surgery? | |
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| How do I know if my AV fistula is working well? | |
| Feel vibrations/thrill of your AV fistula twice a day. Ask your dialysis technician to inform you immediately if he/she finds difficulty in doing dialysis from AV fistula. | |
| When can dialysis be started from AV graft? | |
| After 2 weeks of surgery. | |
| Can it get blocked? What is the solution for blockage? | |
| Yes it can get blocked due to low blood pressure during dialysis & few other reasons. But it can be opened up again by doing AV Fistula angioplasty. |
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