AV Fistula Creation & Management

What is an AV Fistula?

An Arteriovenous (AV) Fistula is a surgical connection between an artery and a vein, typically created in the arm. It’s the preferred access method for hemodialysis in patients with end-stage kidney disease. An AV fistula allows high blood flow, enabling efficient dialysis with fewer complications compared to catheters or grafts.

It is considered the gold standard for dialysis access because it lasts longer, has fewer infections, and offers better outcomes.

Why AV Fistula is Important

A well-functioning AV fistula is critical for:

• Safe and effective dialysis sessions
• Long-term durability
• Lower risk of clotting or infection
• Improved quality of life for patients on regular dialysis

Creating a fistula early—before dialysis is urgently needed—allows it time to mature and be ready for use.

AV Fistula Services Offered

Led by Dr. (Col) Pranati Swain, an expert in vascular and endovascular surgery, we provide comprehensive AV fistula care — from creation to maintenance and salvage procedures.

Our Services Include:

✅ Preoperative Vessel Mapping
Using duplex ultrasound to assess vein and artery suitability for fistula creation.

✅ AV Fistula Creation (Radiocephalic or Brachiocephalic)
Surgical formation of fistulas tailored to the patient’s anatomy and dialysis needs.

✅ AV Fistula Maturation Monitoring
Regular follow-ups to ensure the fistula is developing correctly for successful use.

✅ Fistula Salvage Procedures
Treatment of early failure or non-maturing fistulas through balloon angioplasty or surgical revision.

✅ Management of Fistula Complications
Care for issues like clotting, narrowing (stenosis), aneurysms, or infection to restore or maintain fistula function.

✅ Transition from Catheter to Fistula Access
Guided process for patients switching from temporary dialysis catheters to a permanent, safer AV fistula.

Common AV Fistula Complications We Manage:

• Fistula not maturing properly
• Weak or absent thrill/bruit (indicating flow issues)
• Bleeding or infection at the site
• Aneurysm formation
• Arm swelling or pain during dialysis
• Steal syndrome (reduced hand blood flow)

Early detection and timely intervention can prolong fistula life and avoid emergency access issues.

Why Choose Us?

• Expert vascular surgeon with 20+ years of experience
• Personalized, patient-centered approach
• Advanced imaging and minimally invasive procedures
• Dedicated support for dialysis centers and nephrologists
• Focus on long-term vascular access health

Patient Education & Aftercare

We empower patients with guidance on:

• How to care for their AV fistula
• Signs of fistula problems to watch for
• What to avoid (blood pressure checks, heavy lifting, tight clothing on the fistula arm)
• When to report changes in thrill, color, or swelling

Let’s Build a Strong Access for Stronger Dialysis

A functioning AV fistula is your lifeline for dialysis—trust the hands that specialize in vascular health to create and protect it.

📧 Consult Dr. Pranati Swain for AV Fistula planning or second opinions
📞 Contact us for appointments, referrals, or urgent access issues

Secure your dialysis future with expert vascular access care.