AV Fistula Creation (Dialysis Access)
Patients with kidney failure who need long-term haemodialysis require a reliable vascular access. Dr. Md. Nagib Mahfuz Khan performs arteriovenous (AV) fistula creation, the gold-standard access for safe, long-lasting dialysis.
When It’s Needed
- Chronic kidney disease progressing toward dialysis
- Existing dialysis catheter needing a more permanent access
- A previous AV fistula or graft that has failed or narrowed
- Planning ahead of anticipated dialysis to allow the fistula time to mature
Diagnosis
Pre-procedure evaluation includes a vascular mapping ultrasound of the arm veins and arteries to identify the best site for a durable, well-functioning fistula.
Treatment Options
- AV fistula creation using the patient’s own vessels (preferred, longest-lasting option)
- AV graft placement when native veins are unsuitable
- Balloon angioplasty to salvage a narrowed or underperforming fistula
- Regular ultrasound follow-up to monitor fistula maturation and function
A well-planned fistula, created early, gives the safest and longest-lasting access for dialysis. Book a consultation to plan your dialysis access in advance.
Who Should Consult
- Patients approaching or on haemodialysis
- A fistula or graft that has stopped working well
- Nephrologist referral for dialysis access planning
Frequently Asked Questions
How long does a fistula take to be ready for use?
It typically needs 6 to 8 weeks to mature before it can be safely used for dialysis.
Is fistula surgery done under general anaesthesia?
It is usually performed under local anaesthesia as a day-care procedure.
How long does an AV fistula last?
With good care and regular monitoring, a fistula can function well for many years.
Medical content review: Dr. Md. Nagib Mahfuz Khan, BMDC Reg. A-61144. Last updated: August 15, 2026. This information is educational and does not replace an individual medical consultation.
