Overview
What is AV Fistula Surgery?
Arteriovenous (AV) Fistula is a surgically created connection between an artery and a vein, most commonly in the arm, to provide reliable access for hemodialysis. It is considered the gold standard for long-term dialysis access due to its durability and lower complication rates.
At Dr. KM Cherian Institute of Medical Sciences, we offer the best AV fistula surgery in Kerala with the help of skilled vascular surgeons, nephrologists, and a comprehensive dialysis support team.
When is AV Fistula Surgery Needed?
- Chronic kidney disease (CKD) is approaching end-stage
- Patients preparing for maintenance hemodialysis
- Previous dialysis access failure (e.g., catheter or graft)
- Planned kidney transplant with bridging dialysis needs
How is the Procedure Performed?
AV fistula surgery is typically done under local anaesthesia. The surgeon connects an artery and vein—usually in the forearm or upper arm—to allow the vein to grow stronger and handle repeated needle insertions during dialysis. It generally takes 1–2 hours, followed by outpatient recovery. The fistula takes 4–8 weeks to mature before it can be used for dialysis.
Treatments
At KMC Hospital, Chengannur, AV fistula creation is performed with meticulous surgical techniques and careful pre-operative planning to ensure long-term access success.
- Preoperative vascular mapping and ultrasound evaluation
- Experienced nephrology and vascular surgery teams
- Post-operative monitoring and fistula maturation support
- Management of complications such as thrombosis or stenosis
- Dialysis unit coordination for seamless transition
Best AV fistula surgery specialists in Kerala
Our Doctors
Our Department of Nephrology includes the best AV fistula surgery specialists in Kerala. At Dr. KM Cherian Institute of Medical Sciences, our nephrology and vascular surgery teams work together to provide safe, effective, and timely access to dialysis treatment for patients starting their treatment.
Dr. Sebastian Abraham
Dr. Appu Jose
Dr. Varsha Vipin
FAQ
It has fewer complications, lasts longer, and provides better blood flow for dialysis compared to catheters or grafts.
Avoid pressure on the arm, keep the site clean, monitor for swelling or signs of infection, and follow your doctor’s instructions.
Typically, 6–8 weeks are needed for the vein to mature. In some cases, it may take longer.
Imaging tests may be done, and procedures such as angioplasty or revision surgery can help restore function.
Yes. A new fistula may be created in a different location, or other access types may be considered.
Best Hospital for AV Fistula Surgery in Kerala
Why Choose KMC Hospital, for AV Fistula Surgery?
Dr. KM Cherian Institute of Medical Sciences is the best hospital for AV fistula surgery in Kerala, offering expert surgical care, pre- and post-operative monitoring, and integrated dialysis planning. We provide the best AV fistula creation and dialysis access services in Kerala with a focus on durability, safety, and patient education.
Choosing KMC Hospital, Chengannur, means trusting the best nephrology and vascular care teams in Kerala to prepare you for long-term, effective dialysis treatment.
Enquiry
Dr. KM Cherian Institute of Medical Sciences offers the best AV fistula surgery in Kerala. We provide durable dialysis access creation by expert nephrology and vascular teams. Book your consultation today.