AV fistula surgery connects an artery to a vein, creating an access point for dialysis. For those with kidney failure, this procedure is essential for the dialysis machine to function. An AV fistula is considered the preferred choice for dialysis because it usually has greater longevity and fewer complications.
At Apollo Hospitals in Jubilee Hills, Hyderabad, we provide AV fistula surgery for patients requiring dialysis access. With our team of expert doctors, advanced technology, and exceptional success rates, we are the premier hospital for AV fistula surgery in Hyderabad.
What Is the Process for Creating an AV Fistula?
The initial step in creating an AV fistula is to evaluate your blood vessels (veins and arteries) to ensure they are healthy enough for a fistula. This evaluation starts with a physical examination of your arms by a vascular specialist. Following this, non-invasive or minimally invasive tests, such as an ultrasound or possibly an angiogram, will be conducted to measure the size and depth of your arteries and veins. These tests, known as “vessel mapping,” determine if your blood vessels can support an AV fistula. If you are a suitable candidate, an appointment will be scheduled for the creation of the AV fistula.
During the AV fistula procedure, the vascular specialist will apply local anaesthesia to the chosen access site. A small incision will then be made to access the selected arteries and veins, and a surgical connection will be established between an artery and a vein. This connection increases blood flow through the vein, causing it to enlarge and its walls to thicken. After the AV fistula is created, it will take several weeks, or sometimes longer, for it to mature enough to be used for hemodialysis treatments.
When Should One Consider Obtaining an Arteriovenous Fistula?
If you undergo surgery to create an AV fistula, the vein undergoes a process called “maturing,” during which it widens and thickens, allowing for safe access and rapid blood flow during dialysis. Typically, this maturation process takes six to eight weeks, and in some cases, it may take even longer if issues arise. The AV fistula must fully mature before it can be utilised during dialysis. Therefore, it is advisable to undergo AV fistula surgery before reaching the final stage of kidney failure, in Stage 4 CKD.
How to Take Care of Your AV Fistula?
Your care team will guide you on how to protect your AV fistula. To prevent complications after your procedure, keep the following points in mind:
Benefits of AV Fistula
Quick login using Mobile Number.
Morning 
afternoon 
evening 