Dr. Kuntal Surana

Cardiothoracic & Vascular Surgeon

RTL Version

AV Fistula Surgery

An arteriovenous (AV) fistula is a surgical connection made between an artery and a vein, usually in the arm, to provide access for hemodialysis in patients with kidney failure. It is the preferred type of vascular access because it lasts longer, has fewer complications, and provides better blood flow for dialysis compared to catheters or grafts.

AV Fistula Surgery

When Is AV Fistula Needed?

  • Chronic kidney disease or end-stage renal failure requiring dialysis
  • Patients needing long-term, reliable dialysis access
  • Cases where catheter access is no longer safe or effective

How Is AV Fistula Surgery Done?

During the procedure, a surgeon connects an artery directly to a nearby vein. This causes the vein to enlarge and thicken over time, making it suitable for repeated needle insertions during dialysis. AV fistulas are usually created in the forearm or upper arm, depending on the patient’s condition.

Benefits of an AV Fistula

  • Better blood flow for effective dialysis
  • Lower risk of infection compared to catheters
  • Fewer complications like clotting
  • Longer-lasting access (years to decades)
  • Improves patient safety and quality of life

Expert Care You Can Trust

With Dr. Kuntal Surana’s expertise in vascular and cardiac surgery, patients receive safe and effective AV fistula creation, ensuring reliable dialysis access. Our team provides comprehensive pre- and post-operative care to maximize fistula success and long-term outcomes.

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