AV (Arteriovenous) Fistula Surgery in Delhi, India

An AV Fistula (Arteriovenous Fistula) is a surgical procedure used to create a direct connection between an artery and vein in the arm to be used as long-term access for hemodialysis in patients with chronic kidney disease.

Procedure Type

Surgical, Minimally invasive

Why Is an Av Fistula Performed?

• An AV (arteriovenous) fistula surgery may be needed in certain medical conditions where there is a need for long-term hemodialysis treatment for end-stage kidney disease.
• An AV fistula surgery is necessary because it provides a reliable and long-lasting access point for the hemodialysis machine. This is important because hemodialysis is required on a regular basis, and the access point must be durable enough to withstand frequent needle punctures and high blood flow rates.

Who Is a Candidate for an Av Fistula Surgery?

Candidates for AV fistula surgery typically include patients with:

• End-stage renal disease requiring hemodialysis.
• Sufficient blood flow in the artery and vein to create the fistula.
• Good overall health and a stable medical condition.
• Adequate arm function and strength to tolerate the procedure.
• A willingness to commit to ongoing dialysis treatment.
• No evidence of active infection or clotting disorders that would interfere with the surgery.
• Absence of severe peripheral vascular disease or previous vascular access surgery in the same arm.

Preparation of AV Fistula Surgery

• Patients will be asked about their personal and family history, medications, allergies and other chronic conditions.
• A physical exam may be conducted, and the doctor may ask to perform lab, imaging and diagnostic tests to ensure the patient is fit for the procedure.
• The doctor may start or stop certain medications.
• Patients will not be permitted to eat a few hours before the procedure.

How Is the Procedure Performed?

• The surgeon makes an incision in the arm and creates a connection between an artery and vein, usually in the forearm.
• The connection is tested for flow and blood pressure to ensure it is functioning properly.
• Once the procedure is complete, the patient is kept in a recovery room to be monitored until they are fully awake.

Risk of AV Fistula Surgery

The risks of AV fistula surgery include the following:

• Bleeding
• Infection
• Injury to surrounding structures.
• Blood clots
• Numbness
• Swelling
• Pain at the surgical site.

Recovery of AV Fistula Surgery

• After the procedure, patients will need to keep the surgical site clean and covered.
• They may also need to avoid heavy lifting and using the arm for several weeks.
• Physical therapy may be recommended to help improve mobility and strength in the arm.
• Most patients can return to their normal activities within a few weeks of the procedure.
• It is important to remember everyone's recovery from AV fistula surgery is unique and may take longer for some individuals.
• Follow the doctor's instructions and attend all follow-up appointments to ensure a successful outcome.