av fistula creation for dialysis

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

Answered by:
Dr. Steven Busuttil
Vascular Surgery
1 Doctor agrees
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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.
Related to av fistula creation for dialysis: Artery Av fistula creation Blood Construction Dialysis Elbow Fistula

What does an AV fistula for dialysis mean?

Answered by:
Dr. Gregory H. Hale
Nephrology and Dialysis
2 Doctor agrees
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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.
Related to av fistula creation for dialysis: Laparoscopic surgery Dialysis Artery Blood Fistula

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

Answered by:
Dr. Laura K. Pak
Vascular Surgery
3 Doctor agrees
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 Angioplasty Blood Blood clot Catheter Graft Incision Stenosis Dialysis Fistula

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.
Answered by:
Dr. Rodeen Rahbar
Vascular Surgery
1 Doctor agrees
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patient receiving ialysis Dialysis Catheter Fistula Graft

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.
Answered by:
Dr. Eric Chen
Radiology
3 Doctor agrees
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Declot


A declot is a procedure to remove clot from a dialysis access and regain function of that access. First, a catheter is placed into the fistula or graft. Next, the physician will use either mechanical (think roto-rooter) or pharmacological (clot dissolver) means to remove the clot (or both). Then, the physician will treat the cause of the clot, which is usually a narrowing or the access.
Related to av fistula creation for dialysis: Catheter Dialysis Fistula Graft

Adolescent health

Interesting Fact

Teen brains are under construction. Give them room to make decisions, but always provide guidance.

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TipTap created by:
Dr. Safiyya Shabazz
Family Medicine
Related to av fistula creation for dialysis: Depression Adolescent health Sleep hygiene

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

Answered by:
Dr. Rodeen Rahbar
Vascular Surgery
2 Doctor agrees
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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.
Related to av fistula creation for dialysis: Catheter Fistula Graft Dialysis

Where can I find information on dialysis AV fistula buttonhole sites?

Answered by:
Dr. Kirk Charles
Vascular Surgery

Fistula first


Check out fistulafirst.org. search for buttonhole technique.
Related to av fistula creation for dialysis: Dialysis Fistula

Living with Kidney Dialysis

What To Ask Your Doc

Ask your nephrologist for helpful tips to help limit your fluid intake.

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TipTap created by:
Dr. Marisa Johnson
Nephrology and Dialysis

I have an AV Fistula in the antecubital space of my arm and a peritoneal dialysis catheter, Is there a safe way to play paintball ?

Answered by:
Dr. Norman Chideckel
Vascular Surgery
2 Doctor agrees
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Would avoid


high impact paintball may cause damage ask your surgeon what they think
Related to av fistula creation for dialysis: Catheter Dialysis Fistula Peritoneal dialysis Arm

why is my av fistula ugly?

Answered by:
3 Doctor agrees
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Chronic use


AV fistulas tend to become dilated with use and time, and the access into the fistula should be rotated in different sites. The fistulas are close to the skin, and the majority are prominent, and there is no way to get around this.
Related to av fistula creation for dialysis: Fistula Skin Vascular surgery Hemodialysis

Cure of brain dural av fistula?

Answered by:
 Brain Cerebrum Fistula Neurosurgeon Neurosurgery

Not enough info


I am sorry; that question is so general that it is impossible to give you a satisfactory answer in the 400 characters we're allotted. Are you the one with the A-V fistula? Has it bled? What does your neurosurgeon say?
Related to av fistula creation for dialysis: Brain Cerebrum Fistula Neurosurgeon Neurosurgery

How long for av fistula to mature?

Answered by:
Dr. Jerry Light
Vascular Surgery
1 Doctor agrees
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fistulas; fistulae Fistula Veins

Many factors


There are many things which effect AVF maturation. Vein size, location, and type of fistula to name a few. In the best of circumstances, expect 6-8 weeks, but many times a fistula will take longer or need additional procedures to help it mature fully.
Related to av fistula creation for dialysis: Fistula Veins

Is an av fistula permanent or temporary?

Answered by:
Dr. Benjamin Lerner
Vascular Surgery
1 Doctor agrees
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Both?


We place AV fistulas hoping for long term durability. That being said, we close AV fistulas all the time, for complications, for failure, or (most importantly) after renal transplant
Related to av fistula creation for dialysis: Fistula Kidney transplant Transplant Transplantation

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