Vascular access is extremely important for patients who are undergoing hemodialysis. To create this access, an arteriovenous (AV) fistula or graft is needed in order to allow blood vessels to be easily reached. An AV fistula or graft then permits the filtering of blood through the dialysis process. Intended for long-term use, both a fistula and a graft help as much blood as possible flow through a dialyzer, a machine that cleans waste from the blood when the kidneys are no longer able to do so. At Arizona Premier Surgery, our experienced surgeons provide AV fistula and graft procedures for patients who have experienced kidney failure in order to make the dialysis process more efficient. Contact our facility today to learn more or to schedule your initial consultation with one of our board-certified surgeons.
"I was referred to Dr. Albert Amini following a ct scan. He professionally went over the results with me. His caring nature assured me that the results were probably non-evasive. He suggested a follow-up mri in 6 months. During my follow-up appointment, his caring professional demeanor asked me that son was alright. Dr. Amini sat with me, described the images of the mri, and gave me his professional opinion of the results of the scan."- H.F. / Yelp / Jan 19, 2018
"Dr. Pepple was my Surgeon for a very complicated surgery. He met with my family and explained everything in understandable terms and made me feel very much at ease about the upcoming procedure. He was at the hospital every day to monitor my progress and assure me everything was progressing as it should. Also, after surgery he explained everything that was accomplished to me and my family."- J.F. / Healthgrades / Apr 09, 2019
"We would give Dr. Pepple 100 Stars if possible!He saw me right away after I was referred to him.Within 48 hours I was having my gallbladder removed by Dr. Pepple.He is quick to assess the situation, showed me exactly what has happened and how he is going to get me back to good health. I never doubted him or his team at Honor Health. Dr. Pepple is kind and considerate with a great sense of humor!! Don't hesitate here... Dr. Amini and Dr. Pepple and the whole staff are super great!!!!"- K.C. / Healthgrades / Apr 09, 2019
"I recently had robotic (partial gastroectomy) surgery performed by Dr. Amini. From the very first office visit to the post-op office visit, everything went extremely smooth.The office staff was very efficient, they scheduled PAT and surgery with the hospital in a timely fashion, etc. I did not feel like a forgotten patient. Surgery was very successful. I had very little pain, and a very speedy recovery. Also, Dr. Amini and his office staff (in Chandler) are very personable and easy to communicate with. 5 stars to Dr. Amini and the staff."- J.L. / Yelp / Apr 03, 2019
"I ended up with a perforated appendix shortly after New Year's 2019 and in the hospital. Dr. Pepple was assigned to me. He did a wonderful job of explaining the preferred plan of dealing with the situation, reducing the risk of additional complications and getting me on the road to recovery. He was realistic in outlining the timeframes involved in the preferred treatment approach, and flexible in moving up the my surgery once the initial infection was under control."- T.W. / Healthgrades / Mar 12, 2019
Common Reasons for Surgery
The primary reason for the placement of an AV fistula or graft is to allow for vascular access in patients who need dialysis treatments. Hemodialysis is needed for patients who have experienced kidney failure, which could be caused by several different reasons including:
- Chronic kidney disease
- High blood pressure
- Certain autoimmune diseases (such as Lupus)
- Nephrotic syndrome
- Urinary tract conditions
- Acute kidney injury
About AV Fistula and Grafts
An AV fistula creates a connection between an artery and a vein, and it is typically placed in the forearm or upper arm of a patient. With a fistula, extra pressure and blood are able to flow into the vein, creating improved blood flow. The AV fistula surgical process will occur as an outpatient procedure with anesthesia. Prior to the procedure, patients may need to undergo vessel mapping so that the ideal blood vessels can be used for the fistula.
An AV graft utilizes a small plastic tube in order to connect the artery to a vein. A graft is most often used when the veins are blocked or too small for a fistula. The graft is man-made and is looped to make the connection. Similar to the fistula procedure, the placement of an AV graft will occur as an outpatient procedure with anesthesia.
What to Expect
Following both a fistula and graft procedure, patients may need to be monitored overnight, although, most patients are permitted to return home after their procedure. While an AV graft can typically be used within 2 – 3 weeks following insertion, a fistula may require 2 – 3 months before it is ready for use. However, a graft has a higher risk of infection and clotting compared to a fistula. After your procedure, your Arizona Premier Surgery surgeon will provide you with the appropriate after-care instructions, including how to reduce your risk for complications. You will also need to attend follow-up appointments so that your healing process can be properly evaluated before you begin dialysis treatments.
Plan Your Procedure
- Recovery Time
- 2 Days
Dialysis treatments are crucial for many patients who have experienced kidney failure and they are only possible with an AV fistula or graft procedure. At Arizona Premier Surgery, we work with many kidney failure patients to understand their treatment needs and identify their requirements for either a fistula or graft. To learn more about either procedure, contact our practice today to schedule your consultation.