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USFDA Approved Procedures

USFDA Approved Procedures

No Cuts. No Wounds. Painless*.

No Cuts. No Wounds. Painless*.

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1 Day Procedure

1 Day Procedure

Best Doctors For Av Fistula in Pimpri-chinchwad

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    Dr. Milind Joshi (g3GJCwdAAB)

    Dr. Milind Joshi

    MBBS, MS - General Surgery
    23 Yrs.Exp.

    4.7/5

    23 + Years

    Pune

    General Surgeon

    Proctologist

    Laparoscopic Surgeon

    Call Us
    6366-447-390
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    Dr. Pankaj Waykole (mGYCkmsgDB)

    Dr. Pankaj Waykole

    MBBS, MS - General Surgery
    19 Yrs.Exp.

    4.8/5

    19 + Years

    Pune

    Laparoscopic Surgeon

    General Surgeon

    Proctologist.

    Call Us
    6366-447-390
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    Dr. Shrikant Pandurang Ghanwat (4ky4YpFHDj)

    Dr. Shrikant Pandurang G...

    MBBS, DNB, DrNB- Vascular
    15 Yrs.Exp.

    4.6/5

    15 + Years

    Pune

    Call Us
    6366-447-390
  • About AV Fistula

    AV fistula (AVF) stands for arteriovenous fistula, which is a surgical connection created between an artery and a vein with the help of AV shunt. The role of AV fistula is to provide a channel or access point that is capable of withstanding the dialysis treatment multiple times without causing any damage. It is generally created in the arm or legs. The fistula is important for people who have chronic kidney diseases and have to receive hemodialysis 2-3 times a week.

    If your kidney doctor or nephrologist has recommended that you should undergo AV fistula surgery for dialysis, you can get in touch with Pristyn Care and consult our vascular specialists in Pimpri chinchwad at your convenience.

    Overview

    know-more-about-AV Fistula-treatment-in-Pimpri-chinchwad
    Types of AV Fistula for Dialysis
      • Radial Cephalic fistula
      • Brachial Cephalic fistula
      • Brachial Basilic fistula
    Risks & Complications
      • Clotting of the fistula
      • Steal Syndrome
      • Infection
      • Swelling
    AV Fistula Maturation (6S Rule)
      • The flow within the fistula is greater than 600 mL/min.
      • Diameter of the fistula is around 6mm.
      • It must be 6mm below the skin.
      • Minimum 6 cm of the vein is used for cannulation.
      • A thorough examination of the fistula is needed after 6 weeks.
    Doctor-performing-AV Fistula-surgery-in-Pimpri-chinchwad

    Steps Involved In AV FIstula for Dialysis Treatment

    Diagnosis for AV Fistula

    Before creating a vascular access (AV fistula) for dialysis, the vascular surgeon will ask your medical history to identify if you have any other underlying conditions. Preoperative diagnosis of the veins and arteries is also done. A thorough diagnosis of the arterial and venous system is necessary, especially for the patients who have grade 4 or 5 Chronic Kidney Disease (CKD) or other conditions like diabetes, peripheral vascular disease, etc.

    Various imaging tests, such as doppler ultrasound, CT angiogram, MRA (magnetic resonance angiogram), modified Allen test, and other tests are also done to examine the axillary, brachial, radial, and ulnar pulses in both upper extremities.

    An Ultrasound or angiogram is used to determine the size and depth of the arteries and the veins to decide whether or not the blood vessels can support the AV fistula.

    The whole analysis is also known as vessel mapping. The results of the diagnostic procedures will help to determine whether AV fistula surgery is the safest option for dialysis access or not.

    AV Fistula Surgery for Dialysis

    Before creating a vascular access (AV fistula) for dialysis, the vascular surgeon will ask your medical history to identify if you have any other underlying conditions. Preoperative diagnosis of the veins and arteries is also done. A thorough diagnosis of the arterial and venous system is necessary, especially for the patients who have grade 4 or 5 Chronic Kidney Disease (CKD) or other conditions like diabetes, peripheral vascular disease, etc.

    Various imaging tests, such as doppler ultrasound, CT angiogram, MRA (magnetic resonance angiogram), modified Allen test, and other tests are also done to examine the axillary, brachial, radial, and ulnar pulses in both upper extremities.

    An Ultrasound or angiogram is used to determine the size and depth of the arteries and the veins to decide whether or not the blood vessels can support the AV fistula.

    The whole analysis is also known as vessel mapping. The results of the diagnostic procedures will help to determine whether AV fistula surgery is the safest option for dialysis access or not.

    AV fistula surgery for dialysis, also known as Vascular Access Surgery, is usually performed through minimally invasive techniques. The doctor will administer local anesthesia in the access site and the following steps will be carried out-

    • A small incision will be made in the surgical site to gain access to the arteries and veins. Generally, the non-dominant arm is chosen for the procedure, also known as the access arm.
    • The artery (that carries blood from the heart) and vein (that carries blood back to the heart) are joined together to make a small channel, i.e., fistula.
    • Once the AV fistula for dialysis is created, the cut is closed with the help of dissolvable stitches.

    The surgery is performed on an outpatient basis and takes around an hour to complete. The patient is discharged on the same day and the surgeon will give you specific instructions that will help you to take care of the access arm.

    Why Pristyn Care?

    Delivering Seamless Surgical Experience in India

    01.

    Pristyn Care is COVID-19 safe

    Your safety is taken care of by thermal screening, social distancing, sanitized clinics and hospital rooms, sterilized surgical equipment and mandatory PPE kits during surgery.

    02.

    Assisted Surgery Experience

    A dedicated Care Coordinator assists you throughout the surgery journey from insurance paperwork, to free commute from home to hospital & back and admission-discharge process at the hospital.

    03.

    Medical Expertise With Technology

    Our surgeons spend a lot of time with you to diagnose your condition. You are assisted in all pre-surgery medical diagnostics. We offer advanced laser and laparoscopic surgical treatment. Our procedures are USFDA approved.

    04.

    Post Surgery Care

    We offer free follow-up consultations and instructions including dietary tips as well as exercises to every patient to ensure they have a smooth recovery to their daily routines.

    Frequently Asked Question

    What are the types of vascular access surgery?

    The following are three major types of vascular access surgeries-

    • Arteriovenous fistula surgery
    • Arteriovenous graft surgery
    • Venous catheter

    How can I take care of myself after AV fistula surgery?

    The following are a few care tips that can help you after AV fistula surgery-

    • Check the pulse in the vascular access every day.
    • Follow the diet and lifestyle restrictions and recommendations advised by the doctor.
    • Inform the doctor right away if there are signs of pregnancy or conception.

    What are the types of AV fistula for dialysis?

    All arteriovenous filstula for dialysis has very similar characterstics. They all are created by using native vessels without using any synthetic material. Three of the most commonly created fistula for dialysis are-

    • Radial cephalic fistula
    • Brachial cephalic fistula
    • Brachial basilic fistula

    Are there any risks and complications involved in AV fistula surgery?/h3>

    Like any other surgical procedures. The following are a few potential risks and complications involved in AV fistula surgery-

    • Reaction to given anesthesia
    • Numbness in the surgical site due to bruising of a nerve.
    • Swelling around the surgical site
    • Blood clots that develop in channel created for dialysis.
    • Excessive bleeding

    Where I can get safe and effective AV fistula surgery in Pimpri chinchwad?

    Pristyn Care provides most safe and effective AV fisula surgery in Pimpri chinchwad that is performed by skilled vascular surgeons.

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    Content Reviewed By
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    Dr. Milind Joshi
    23 Years Experience Overall
    Last Updated : June 4, 2024

    What to expect during AV fistula surgery?

    The AV fistula surgery is performed on an outpatient basis at a hospital by an experienced vascular surgeon. The surgical team will clean the surgery site and start anesthesia. General or local anesthesia may be used depending on the patient’s condition.

    The surgery will be performed in the following steps

    • Once the anesthesia takes effect, an incision is made in the site.
    • The chosen vein and artery are identified and the blood flow through the chosen blood vessels is halted temporarily.
    • The artery and vein are adjoined without any external support through stitches and the blood flow is restored.
    • The incision is then closed and the fistula is left to mature over the next several months.

    How Pristyn Care help you for AV fistula surgery in Pimpri chinchwad?

    Pristyn Care provides safe and effective AV fistula surgery in Pimpri chinchwad. The expert vascular surgeon diagnose the condition thoroughly and create the channel for dialysis. The following are additional benefits that we provide to make the surgical experience as smooth as possible for patients

    • Free cab service for pick and drop to make the commute process easier.
    • Free follow up consultation to keep a check on the recovery progress.
    • Highly experienced and skilled vascular surgeons for effective surgery.
    • End to end assistance throughout your surgical journey.
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