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Doctor insights on: What Does It Mean To Have Av Fistula In Left Arm

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What does it mean to have av fistula in left arm?

What does it mean to have av fistula in left arm?

Connect Vein&Artery: This is when a vein is surgically connected to an artery (end-to-side anastomosis). This maintains blood flow to the hand while diverting blood into the vein. The vein becomes pressurized to arterial pressure and had much higher blood flow. Over time its size will double and its walls thicken so that it can be accessed for dialysis. Left arm is most often used because it is the non-dominant arm. ...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


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I have an av fistula in my left arm - will this make my pulse bounding or weak?

AV fistula: Generally AV fistulas will decrease total peripheral vascular resistance and lower mean arterial blood pressure. This generally will make for a smaller pulse wave. ...Read more

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If av fistula in arm.. Does your pulse become bounding or weak?

If av fistula in arm.. Does your pulse become bounding or weak?

Slightly weaker: The fistula it self should have a strong pulsation but the pulse below it is a bit weaker because the fistula steals some of the arterial blood from the artery that goes down to the wrist providing that arterial pressure to the vein above it. It should remain palpable though and the hand should remains well supplied with blood. ...Read more

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I received a kidney transplant 1/4/13. The fistula in my left arm is dead. My left hand is burning, could this be from the fistula?

I received a kidney transplant 1/4/13.  The fistula in my left arm is dead.  My left hand is burning, could this be from the fistula?

Usually not. But,: Everyone is different. Usually when a fistula clots people don't feel any different. Get checked by your doc to make sure there is no other cause for burning. If your fingers are pale or change color or cold, or burning increases, you need urgent eval bec you worry about blood flow issue into the hand. ...Read more

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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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What does it mean for an av fistula to mature?

Growth for dialysis: A primary arterio-venous fistula ( that means where an artery and a vein have been sutured directly into each other as opposed to an interposition graft) takes some time for the vein to grow larger.The size of the vein is important because it allows the flow requirements of dialysis.This often takes a month or two to happen. ...Read more

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What is a detailed step-by-step description of an av fistula procedure?

Depends: Sometimes it's just a single small incision with vein brought over to the artery. Other times two or more incisions of great length are needed. Discuss your case with your surgeon. ...Read more

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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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I'd like to ask for a detailed step-by-step description of a av fistula procedure?

Generally...: 1) make incision, 2) find vein and inspect for appropriateness as an av fistula, 3) find artery, 4) connect the vein onto the artery, 5) close incision. The details vary slightly depending on the site on one's arm or leg, but generally the five steps listed is all that's involved. ...Read more