An arteriovenous fistula (AVF) is a surgically created connection between an artery and a vein, typically in the forearm or upper arm. This connection allows the vein to carry higher blood flow, making it suitable for repeated needle access during hemodialysis sessions.
Among all dialysis access options, an AVF is generally preferred by nephrologists and vascular surgeons because it tends to last longer, carries a lower risk of infection, and delivers better blood flow rates compared to grafts or central venous catheters. After creation, the fistula usually requires 4 to 8 weeks to mature before it can be used for dialysis.
Patients with chronic kidney disease (CKD) or end-stage renal disease (ESRD) who are planning to start hemodialysis are typically evaluated for AVF creation well in advance. Early referral to a vascular surgeon in Mumbai can help ensure the fistula is ready when dialysis begins.


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An arteriovenous fistula is very important for patients who have to undergo dialysis due to kidney failure. During dialysis, the impure blood is taken out from the veins, filtered outside the body with the help of a dialysis machine, and then the pure blood is transferred to the arteries.
The same procedure is repeated multiple times until the patient finds a healthy kidney for transplant.
To make the dialysis successful, it is important that the blood vessels can bear the pressure of the blood entering them. Typically, the veins are small and only about 30-40 ml of blood flows through them per minute. The goal is to make the veins strong and thick enough that they can tolerate the blood pressure and frequent insertion/exertion of the dialysis needles.
This is why an arteriovenous (AV) fistula is needed for long-term and adequate hemodialysis treatment.
Similar to other surgeries, the creation of an AV fistula also has some potential risks and complications. However, only a minority of the patients experience these complications.
An experienced vascular specialist can mitigate most of the risks associated with surgery.
| Sr.No. | Doctor Name | Registration Number | Ratings | Experience | Book Appointment |
|---|---|---|---|---|---|
| 1 | Dr. Abhinandan Sampathrao Jadhav | 2004020627 | 4.6 | 23 + Years | Book Appointment |
| 2 | Dr. Bineet Jha | 2005/07/3097 | 4.5 | 21 + Years | Book Appointment |
| 3 | Dr. Nelson V Junghare | 2014041492 | 4.8 | 12 + Years | Book Appointment |
| 4 | Dr Maunil Bhutta | 2012/06/1747 | 5.0 | 14 + Years | Book Appointment |
We have several experienced and highly rated doctors for AV Fistula in Mumbai. Some of our top specialists include: Dr. Abhinandan Sampathrao Jadhav (23 Years Experience Overall), Dr. Bineet Jha (21 Years Experience Overall), Dr. Nelson V Junghare (12 Years Experience Overall), etc.
The normal veins in the body carry smaller amounts of blood as compared to arteries which makes it harder for the dialysis machine to filter blood efficiently. The AV fistula makes extra blood flow through the veins regularly that leads to enlargement of the vein and makes it stronger. Untreated veins would collapse due to repeated needle insertions and under strong suction. Thus, it is crucial that the veins are enlarged and strong to bear the extra pressure and extra blood flow.
In most cases, the radial artery and the cephalic vein in the patient’s wrist are combined to create the AV fistula for dialysis treatment.
Whether you are living in Mumbai or any other city in India, Pristyn Care is the best place to find the most qualified and experienced surgeons. We have a dedicated team of vascular surgeons who have more than 15 years of experience in performing vascular access surgeries safely. You can rely on their expertise and get the respective treatment from them.
The alternative method used for patients who cannot undergo AV fistula surgery due to weakness in blood vessels is AV graft surgery or venous catheter. In the graft surgery procedure, an artificial vein is installed in the body that allows dialysis. If immediate dialysis is required, the same can be done with the help of a venous catheter until the long-term solution is created.
As the skin is cut to create a fistula, there will be a visible scar on the skin. Over time, as the skin heals from the surgery, the scar will fade away and may become unnoticeable.
Generally, it will take almost a month or so to recover completely after undergoing an AV fistula or vascular access surgery. The exact recovery time will be different for each individual. Thus, the surgeon will give you an estimate and plan for faster recovery.
You will have to take 2-3 follow-ups after undergoing AVF surgery for dialysis. The first follow-up will be recommended within 7-10 days to see if the body is healing properly. The second follow-up will be done after 3-4 weeks to ensure that the fistula is working and there are no complications. When the recovery is complete, the final follow-up will take place after 6 weeks to check whether the fistula has matured or not.
Apoorva
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Dialysis process became easier after the procedure.
Kanak Sharma
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The AV fistula surgery I had was successful, and my experience with Pristyn Care was commendable. They helped me with the surgery and also made the insurance approval simple.
Suneeti Upadhyay
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Pristyn Care provided excellent care throughout the treatment. They assisted with all the formalities and provided free cab and follow-up consultations. I am satisfied with the experience.
Ravishankar Sen
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At Pristyn Care, I got assistance from my care coordinator at every step of the treatment. They handled hospital admission, insurance approval, and discharge and provided free cab and follow-up consultations to make the journey seamless.