AV Fistula (Arteriovenous Fistula)

An AV fistula is a surgically created connection between an artery and a vein, most commonly performed in the arm. It is primarily created to provide reliable, long-term vascular access for patients requiring regular hemodialysis due to kidney failure. Over time, the connection causes the vein to widen and strengthen, allowing it to handle the repeated needle access needed for dialysis safely and effectively.

Treatment Methods :

Depending on the patient's vascular anatomy and dialysis needs, procedure options may include:

• Radiocephalic Fistula – Created at the wrist, connecting the radial artery to the cephalic vein, often the first choice when vessel quality is suitable.

• Brachiocephalic Fistula – Created at the elbow, connecting the brachial artery to the cephalic vein, used when wrist vessels aren't suitable.

• Brachiobasilic Fistula – Involves transposing the basilic vein for connection to the brachial artery, used in select cases requiring an alternative vein.

• AV Graft – A synthetic graft connecting an artery and vein, considered when a patient's own veins are not suitable for a natural fistula.

The appropriate type and site are decided after evaluation by a qualified vascular surgeon.

Eligibility & Age

The procedure is generally considered for patients with chronic kidney disease who require, or are expected to soon require, long-term hemodialysis, and who have vessels of adequate size and quality for fistula creation.

There is no fixed age limit for AV fistula surgery. Suitability depends on the patient's vascular anatomy, kidney function, overall health, and dialysis requirements, assessed through clinical examination and vascular imaging.

Conclusion

An AV fistula is considered the gold standard for long-term dialysis access, but the right type and site depend on individual vascular anatomy. Early evaluation by a qualified vascular surgeon can help determine the most suitable approach for you.

Get evaluated by a qualified surgeon through Surgi Solution and explore treatment options suitable for your condition.