AV Fistula Procedure

At Esha Kidney & Medical Care we have the top notch equipment available for AV fistula procedure. We have the qualified and specialized doctors who can easily perform the AV fistula procedure on you or your patient and provide you with 100% accurate and perfect result. For further details please feel free to call us for appointment.



What is an arteriovenous fistula?

An AV fistula is a connection, made by a vascular surgeon, of an artery to a vein. Arteries carry blood from the heart to the body, while veins carry blood from the body back to the heart. Vascular surgeons specialize in blood vessel surgery. The surgeon usually places an AV fistula in the forearm or upper arm. An AV fistula causes extra pressure and extra blood to flow into the vein, making it grow large and strong. The larger vein provides easy, reliable access to blood vessels. Without this kind of access, regular hemodialysis sessions would not be possible. Untreated veins cannot withstand repeated needle insertions, because they would collapse the way a straw collapses under strong suction.

How an AV Fistula work

Health care providers recommend an AV fistula over the other types of access because it

  • Provides good blood flow for dialysis.
  • Lasts longer than other types of access.
  • Is less likely to get infected or cause blood clots than other types of access.

Before AV fistula surgery, the surgeon may perform a vessel mapping test. Vessel mapping uses Doppler ultrasound to evaluate blood vessels that the surgeon may use to make the AV fistula. Ultrasound uses a device, called a transducer, that bounces safe, painless sound waves off organs to create an image of their structure. A specially trained technician performs the procedure in a health care provider’s office, an outpatient center, or a hospital. A radiologist—a doctor who specializes in medical imaging—interprets the images. The patient does not need anesthesia for this procedure. A Doppler ultrasound shows how much and how quickly blood flows through arteries and veins so the surgeon can select the best blood vessels to use.

A surgeon performs AV fistula surgery in an outpatient center or a hospital. The vascular access procedure may require an overnight stay in the hospital; however, many patients go home afterward. A health care provider uses local anesthesia to numb the area where the surgeon creates the AV fistula.

An AV fistula frequently requires 2 to 3 months to develop, or mature, before the patient can use it for hemodialysis. If an AV fistula fails to mature after surgery, the surgeon must repeat the procedure.

How an AV Fistula is performed

At the start of a hemodialysis session, a health care provider or the patient inserts two needles into the vascular access. One needle carries blood from the body to the dialyzer. The other carries filtered blood back to the body. To tell the needles apart, the needle that carries blood away from the body is called the arterial needle. The needle that carries blood back to the body is called the venous needle. Some patients prefer to insert their own needles into the vascular access, which requires training to learn how to prevent infection and protect the vascular access. No matter who inserts the needles, the patient should know how to take care of the needle insertion area to prevent infection.

If an AV fistula does not mature, an AV graft is the second choice for a long-lasting vascular access.

Why Esha Kidney Care?

Esha Kidney Care is committed to elevating the health and quality of life patients suffering from kidney diseases. Our mission is to provide kidney disease patients with personalized care, quality dialysis treatment and patient education. We’re committed to ensuring that each patient is confident in their therapy choice and kidney dialysis treatments.

Contact Information

B-1298, 4th B Road, Satellite town Near Kali Tanki, Rawalpindi

Email: info@eshakidneycare.com

Hospital: +92 051 4570501

Phone: +92 051 4570505

Cell: +92 333 5410005

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