AV Fistula Creation for Dialysis
AV Fistula Creation for Dialysis Treatment
Treatment Range Hospital in Hyderabad offers expert AV fistula creation surgery for patients undergoing long-term hemodialysis. An arteriovenous (AV) fistula is a surgical connection made between an artery and a vein in the arm, allowing for efficient and reliable access to the bloodstream during dialysis. Our experienced vascular and dialysis access surgeons ensure that the procedure is performed with precision, promoting long-term functionality and reducing the risk of complications.
Each patient undergoes a thorough vascular evaluation to determine the best site for fistula creation, ensuring proper blood flow and vein maturity. The procedure is typically done under local anesthesia and as a day-care surgery, allowing patients to return home the same day. With advanced surgical techniques and high success rates, Treatment Range Hospital is regarded as one of the leading centers for AV fistula creation in Hyderabad.
If you’re looking for AV fistula surgery in Hyderabad, Treatment Range Hospital offers safe, affordable, and expert care for dialysis access. We are committed to helping patients start or continue hemodialysis with confidence through reliable access and continuous medical support.
- Your 6 - Phase health Process
Your Complete AV Fistula Creation for Dialysis Journey
🩺 Phase 1: Symptoms Identification & Need for Dialysis
- End-stage kidney disease (ESKD)
- Need for long-term hemodialysis treatment
- Symptoms: fatigue, fluid overload, poor kidney function
- Blood tests showing decreased glomerular filtration rate (GFR)
- Evaluation by nephrologist for vascular access planning
📋 Phase 2: OPD Consultation with Vascular Surgeon
- Physical examination of arms and vessels
- Vessel mapping using ultrasound to locate suitable artery & vein
- Review of dialysis history, health conditions & medications
- Decision on fistula type: radiocephalic (wrist), brachiocephalic (elbow), or brachiobasilic (upper arm)
🧪 Phase 3: Diagnosis & Preoperative Planning
- Duplex ultrasound to assess vein and artery size
- Evaluate for comorbidities (e.g. diabetes, hypertension, vascular disease)
- Anesthesia assessment (usually local or regional)
- Scheduling of surgery and pre-op instructions
💉Phase 4: Surgical Creation of AV Fistula
- Performed under local/regional anesthesia
- Small incision in the arm to connect artery and vein
- This connection increases blood flow and enlarges the vein (matures for dialysis use)
- Procedure time: 1–2 hours
- Usually same-day discharge
🏥 Phase 5: Post-Surgery Care & Fistula Maturation
- Keep site clean and dry
- Avoid pressure, blood draws, or BP checks on fistula arm
- Gentle movement encouraged the next day
- Fistula usually ready for dialysis use in 6–12 weeks
- Regular check-ups to assess flow, thrill (vibration), and development
🚶 Phase 6: Long-Term Use & Maintenance
- Fistula is used for needle insertion during dialysis sessions
- Best long-term access option: lower infection risk & better flow
- Monitor for signs of complications: absence of thrill, swelling, redness
- Routine monitoring by dialysis team
- Repair or revision may be needed if flow decreases or clotting occurs
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An AV (arteriovenous) fistula is a surgical connection made between an artery and a vein, typically in the arm. It allows high blood flow needed for effective hemodialysis in patients with kidney failure.
It is the preferred type of vascular access because it:
• Provides reliable, long-term dialysis access
• Has lower risk of infection and clotting compared to catheters
• Lasts longer than synthetic grafts
The procedure usually takes about 1 to 2 hours and is done under local or regional anesthesia. Most patients go home the same day.
The fistula needs time to “mature” — this can take 6 to 12 weeks. During this time, the vein becomes stronger and larger, allowing safe needle insertion for dialysis.
• Do hand-squeezing exercises (like using a stress ball)
• Keep the arm elevated after surgery
• Avoid blood pressure checks, blood draws, or sleeping on that arm
• Keep the area clean and dry