AV Fistula Surgery

An AV (arteriovenous) fistula is a connection created between an artery and a vein, typically in the arm, that is used for hemodialysis in patients with end-stage kidney disease. The AV fistula allows blood to flow from the artery into the vein, which increases blood flow and makes it easier to access the vein for dialysis.

AV fistula surgery is a procedure used to create this connection between an artery and a vein. The surgery typically involves creating an incision in the arm, identifying a suitable artery and vein, and connecting them by directly suturing them together. The procedure can be performed under local or general anesthesia, and usually takes a few hours to complete.

After the surgery, the AV fistula needs time to mature and become strong enough to handle the repeated needle insertions required for hemodialysis. This process of maturation can take several weeks to several months, and during this time, patients may need to receive dialysis through a temporary catheter.

AV fistula surgery is generally considered a safe and effective procedure for patients with end-stage kidney disease who require hemodialysis. However, like any surgical procedure, there are risks and potential complications, such as bleeding, infection, or failure of the fistula to mature properly.

Patients considering AV fistula surgery should discuss the procedure with a urologist and a nephrologist and carefully consider the risks and benefits before making a decision.