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Doctor insights on: Av Fistula Creation For Dialysis

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Dr. Steven Busuttil
Board Certified, Vascular Surgery
27 years in practice
255K people helped
1

1
What is the definition or description of: av fistula creation?

What is the definition or description of: av fistula creation?

Artery to vein Conni: An av fistula is a direct connection made by a surgeon connecting a vein to an artery. These are usually performed in the wrist or elbow crease. These are created to increase blood flow in the vein so it can be used for dialysis access. ...Read more

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Dr. Tonga Nfor
Board Certified
10 years in practice
496K people helped
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Dr. Quresh Khairullah
492 doctors shared insights

Dialysis (Definition)

Simple answer is that it is a medical technology used primarily to provide an artificial replacement for lost kidney function in people with renal failure. Hemodialysis remove wastes and excess water from the blood by circulating blood outside the body through an external filter, called a dialyzer. Blood and dialysate flow through in opposite directions and the ...Read more


Dr. Gregory Hale
Board Certified, Nephrology and Dialysis
25K people helped
2

2
What does an av fistula for dialysis mean?

What does an av fistula for dialysis mean?

Arteriovenous fistul: It is an arteriovenous fistula. It is a surgical connection of an artery and a vein. Once "mature", it is where they insert the needles for the blood to flow to the dialysis machine. It can take 3 months or so from "creation" until it is ready to use. ...Read more

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Dr. Tonga Nfor
Board Certified
10 years in practice
496K people helped
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Dr. Rodeen Rahbar
Board Certified, Vascular Surgery
14 years in practice
260K people helped
3

3
What is the process of decloting an av fistula for dialysis patients?

Two methods : There are two methods: mechanical or chemical. Occasionally both methods are used. In general, the doctor accesses the av graft or fistula with a needle and places a tube into the graft. He then uses wires and catheters to cross the clot and inject clot busting meds. There are devices he can use that also break up clot. Or, he can open the graft and use special balloons to pull clot out. ...Read more

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Dr. Kirk Charles
Board Certified, Vascular Surgery
16 years in practice
274K people helped
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Dr. Tonga Nfor
Board Certified
10 years in practice
496K people helped
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Dr. Aaron Roland
Board Certified, Family Medicine
29 years in practice
482K people helped
5

5
What is the purpose of a AV fistula for dialysis patients? I can't find anything good on the internet to explain this, please add link if you have one

High flow: An A-V fistula creates a peripheral region of high blood flow so that a large volume of blood can be removed and returned to the body for the "cleaning" done by the dialysis machine. ...Read more

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Dr. Jack Rubin, M.d.
Board Certified, Nephrology and Dialysis
42 years in practice
4M people helped
6

6
I am a dialysis patient for 2 yrs. I lift 5 to 10 pds of weights, is it okay for my av fistula. And what can I take to build muscle?

I am a dialysis patient for 2 yrs. I lift 5 to 10 pds of weights, is it okay for my av fistula. And what can I take to build muscle?

AVF and weights: The answer to your question about lifting weights being ok for your avf is "yes". You need to speak to your renal dietician about what you can eat to build up muscle. Good luck. ...Read more

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Dr. Laura Pak
Board Certified, Vascular Surgery
22 years in practice
99K people helped
7

7
How do physicians de-clot an av fistula for dialysis patients?

How do physicians de-clot an av fistula for dialysis patients?

Open or endo: It can be done with tpa (a high-potency medication to dissolve blood clot) and a rotor-rooter device inserted through a needle stick in the access. I tend to make a small incision to remove the clot with a balloon catheter, then do an angioplasty on the area of stenosis (narrowing) which you usually find in the vein or graft. ...Read more

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Dr. Norman Chideckel
Board Certified, Vascular Surgery
36 years in practice
375K people helped
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Dr. Joel Gotvald
Board Certified, Vascular Surgery
19 years in practice
434K people helped
9

9
Is an av fistula permanent or temporary?

Permanent w/o repair: An AV fistula, or arterial-venous fistula, is an abnormal connection between an artery & vein that allows high pressure arterial blood to travel into the low pressure venous system. It can be caused by traumatic blood vessel injury or purposely created surgically by a doctor (e.g for dialysis access). An AV fistula is always permanent unless repaired surgically or with covered stenting of vessels. ...Read more

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Dr. William Purtill
Board Certified, Vascular Surgery
31K people helped
10

10
Can you tell me how the procedure for av fistula placement works?

Can you tell me how the procedure for av fistula placement works?

It works well.: A fistula is the best option for long-term hemodialysis. Your own artery and vein are connected in a small surgical procedure. It takes 6 weeks or more to grow or mature and then 2 needles are inserted for dialysis. There is no artificial material as in an av graft so the fistulas stay open. See www, fistulafirst, org for more info. ...Read more

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Fistula (Definition)

A fistula is an abnormal connection between two places. Most commonly, it originates somewhere in the intestine and communicates to another location in the intestine or in the skin. A fistula can develop after abdominal surgery, with inflammatory bowel disease, cancer, anorectal abscess, and ...Read more


Dr. Sandip Kapur
17 doctors shared insights

Av Fistula Creation (Definition)

An av fistula is a direct connection made by a surgeon connecting a vein to an artery. These are usually performed in the wrist or elbow crease. These are created to increase blood flow in the vein so it can be ...Read more


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Dr. Tonga Nfor
Board Certified,
10 years in practice
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