Long-term dialysis becomes a necessary part of treatment for patients with end-stage kidney disease, especially those who are awaiting a kidney transplant, either due to medical reasons or unavailability of a suitable donor. To ensure dialysis can be performed safely and effectively, reliable vascular access is required. An AV (Arteriovenous) fistula serves this purpose by creating a durable connection between an artery and a vein, typically in the arm, allowing consistent and efficient blood flow during dialysis sessions.
At Artemis Hospitals in Gurgaon, AV fistula surgery is performed by experienced and reputable vascular surgeons with demonstrated expertise. From pre-surgery planning and fistula creation to long-term follow-up and care, we offer complete support, helping patients begin and continue their dialysis journey safely and smoothly.
What is an Arteriovenous (AV) Fistula?
An arteriovenous (AV) fistula is a surgically created connection between an artery and a vein, usually in the forearm or upper arm. This connection causes more blood to flow through the vein, making it stronger and thicker. A strong vein is important because it allows easy and repeated access for haemodialysis without damaging the blood vessels.
AV fistulas are considered the best and most reliable option for long-term dialysis. Unlike temporary catheters, a properly formed AV fistula is less likely to get infected or clot, and it provides better blood flow, making dialysis more effective.
At Artemis Hospitals, each AV fistula is carefully planned and created based on the patient’s vein condition, health status, and dialysis needs, ensuring a safe and successful outcome.
Who Needs AV Fistula Surgery?
AV fistula surgery is recommended for people with chronic kidney disease (CKD) who are nearing or already on haemodialysis. Since dialysis requires regular access to the bloodstream, an AV fistula provides a safe, strong, and long-lasting entry point for the dialysis machine to clean the blood effectively. A doctor may advise AV fistula surgery if:
Dialysis is expected to begin soon due to progressive kidney failure
Other forms of access, such as catheters, are not suitable or have caused complications
The patient is preparing for long-term dialysis treatment
Creating the AV fistula a few weeks or months before dialysis allows the vein to grow stronger (mature) so it can handle the blood flow during treatment. At Artemis Hospitals, the decision to create an AV fistula is made after a detailed assessment by a nephrologist and vascular surgeon, ensuring the best possible access for ongoing dialysis care.
Types of AV Fistulas
There are different types of AV fistulas depending on where they are created in the arm and the patient’s blood vessel condition. The choice of fistula is based on factors such as vein size, blood flow, age, and overall health. Here are the common types of AV fistulas:
Radiocephalic AV Fistula (Wrist Fistula): This is created at the wrist by connecting the radial artery and cephalic vein. It is often the first choice due to its low complication risk but may not be suitable for all patients.
Brachiocephalic AV Fistula (Elbow Fistula): Made at the elbow by joining the brachial artery and cephalic vein. It offers better blood flow and matures faster than wrist fistulas but has a slightly higher risk of complications.
Brachiobasilic AV Fistula (Deep Vein Fistula): Involves connecting the brachial artery to the basilic vein, which lies deeper under the skin. This type may require an additional procedure to bring the vein closer to the surface.
Each patient’s arm is assessed through vein mapping and ultrasound to select the most appropriate type of fistula. At Artemis Hospitals, vascular surgeons choose the option that provides safe access, better durability, and minimal complications, tailored to each individual’s needs.
AV Fistula Surgery at Artemis Hospitals
At Artemis Hospitals, AV fistula surgery is carefully planned and performed to ensure long-lasting access for dialysis and minimal risk of complications. The entire process is handled by a team of vascular surgeons, nephrologists, and dialysis specialists, using modern techniques and patient-centred care. Here’s what to expect before, during, and after the surgery:
Before the Procedure
A detailed medical evaluation is done, including vein mapping using ultrasound to check blood vessel suitability.
The care team explains the procedure, discusses placement options, and gives pre-surgery instructions.
Blood tests and other diagnostics are conducted to ensure the patient is fit for surgery.
During the Procedure
The surgery is performed under local anaesthesia and usually takes about 1–2 hours.
The surgeon connects an artery to a nearby vein to create the AV fistula.
The procedure is mostly done as a day-care or short-stay surgery, with patients discharged the same or next day.
After the Surgery
The arm may feel sore for a few days; patients are advised to rest and follow care instructions.
It takes about 6 to 8 weeks for the fistula to mature and be ready for dialysis.
Patients are shown how to do simple hand exercises to help the vein grow stronger.
Follow-up appointments are scheduled to check if the fistula is working properly.
At Artemis Hospitals, the focus is on safe surgery, proper healing, and long-term support, helping patients start dialysis smoothly with reliable vascular access.
Why Choose Artemis Hospitals for AV Fistula Surgery?
Artemis Hospitals is a trusted centre for vascular access surgery, offering expert care for patients with chronic kidney disease who require dialysis. With a team of specialists and access to advanced facilities, the hospital ensures that every AV fistula procedure is safe, effective, and tailored to the patient’s individual needs.
Experienced Vascular Surgeons & Dialysis Care Team
Highly skilled vascular surgeons with experience in creating AV fistulas across a range of cases.
Close coordination with nephrologists and dialysis specialists to provide seamless pre- and post-operative care.
A multidisciplinary approach for managing patients with complex health conditions.
Advanced Imaging & Surgical Precision
Use of ultrasound-guided vein mapping to select the best site for fistula creation.
Access to modern operation theatres and equipment for minimally invasive surgery, high-precision procedures.
High success rates with early fistula maturity and reduced complication risks.
Comprehensive Dialysis Access Support
Support throughout the patient journey: from initial consultation to long-term fistula care.
Management of failed or clotted fistulas, including revision surgeries or alternative access options.
Patient education on AV fistula care, exercise guidance, and early warning signs to watch for.
At Artemis Hospitals, the goal is to provide safe, durable, and patient-friendly dialysis access through expert AV fistula surgery, ensuring each patient is well-prepared for ongoing haemodialysis.
Book an Appointment Today
For safe and reliable vascular access in dialysis care, Artemis Hospitals offers expert AV fistula surgery performed by experienced vascular surgeons using advanced surgical techniques. From pre-surgery planning to long-term follow-up, patients receive comprehensive care in a supportive and well-equipped environment.
To book an appointment with a vascular specialist at Artemis Hospitals, call our customer care at +91-124-451-1111 or WhatsApp us at +91 959-928-5476. Appointments can also be scheduled through the online patient portal or by downloading the Artemis Personal Health Record mobile app, available on both iOS and Android devices.
Frequently Asked Questions (FAQs)
Q. How long does an AV fistula last?
An AV fistula can last for several years, often much longer than other types of dialysis access, especially with proper care and regular monitoring.
Q. When can I start using my AV fistula for dialysis?
It usually takes about 6 to 8 weeks for the fistula to mature and be ready for use. In some cases, it may take a little longer depending on vein development and healing.
Q. Are there any complications after AV fistula surgery?
While AV fistulas are generally safe, some patients may experience swelling, clotting, infection, or delayed maturation. Regular check-ups help detect and manage these issues early.
Q. What if my AV fistula doesn’t mature properly?
If the fistula doesn’t mature or function as expected, doctors may recommend revising the fistula or exploring other access options such as grafts or catheters.
Q. How do I take care of my AV fistula?
Avoid heavy lifting with the fistula arm, do regular hand exercises to strengthen the vein, and keep the site clean and free of pressure. Notify your care team immediately if you notice redness, pain, or changes in blood flow.
