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
|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?|
|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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