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
"Philip Pepple did my gallbladder removal, great surgeon! He’s a straight shooter and tells it like it is. I did have a complication with healing (which had nothing to do with his work, just a hard area to heal) but he was very patient will all my questions and concerns I had. Answered everything. My scars look great. Highly recommended!"- D.A. / Yelp / Nov 19, 2020
"First time using this center, very pleased. Everyone was very pleasant, on time, positive and explained everything that you could understand. I would highly recommend the office."- J.S. / Google / Sep 29, 2020
"Great group! I have had quite a few surgeries in my life and have worked with too many surgeons. Amini is the best. He has a personality and a good one! He made me feel comfortable and reassured I was in the best hands. He went out of his way to take care of me ASAP. I could not be more greatful to Dr. Amini and his staff. Thank you so much!"- S.S. / Google / Aug 13, 2020
"I have been very satisfied with the care I have received with. Arizona Premier Surgery. Dr. Neuman and Brook were wonderful. I was hospitalized with diverticulitis and needed surgery the two of them were there every step of the way it was a very difficult time for me but they helped me to get my health back. And I will always be grateful. The office staff was also amazing if I had a question or concern they were there to answer it or make me an appointment right away to get in to see the doctor. I will recommend them to family and friends in the future. Thank you again for all your help"- L. / Google / Jul 13, 2020
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.