Why do you need an AV fistula for dialysis?

An arteriovenous (AV) fistula is a connection, made by a vascular surgeon, of an artery to a vein. Provides good blood flow for dialysis. Lasts longer than other types of access. Is less likely to get infected or cause blood clots than other types of access.

Where do they put the port for dialysis?

A catheter is placed only when you need to start dialysis. It is put in a large vein, usually in your neck but sometimes in your upper chest.

How is an AV fistula placed?

An AV fistula is typically located in your arm, however, if necessary it can be placed in the leg. With an AV fistula, blood flows from the artery directly into the vein, increasing the blood pressure and amount of blood flow through the vein.

What is the purpose of an AV shunt?

The goal is to allow high blood flow so that the largest amount of blood can pass through the dialyzer. The AV fistula is a blood vessel made wider and stronger by a surgeon to handle the needles that allow blood to flow out to and return from a dialysis machine. Most people can go home after outpatient surgery.

Is fistula for dialysis painful?

Discomfort is minimal and you may even fall asleep during the 1 to 2 hour-long procedure. The surgical incision is usually only 2 to 4 inches long. Generally you are able to return home later that same day. The fistula usually requires from 8 to 12 weeks for the veins to dilate prior to initial use.

What is the most common complication of AV fistula?

Heart failure. This is the most serious complication of large arteriovenous fistulas. Blood flows more quickly through an arteriovenous fistula than it does through normal blood vessels. As a result, your heart pumps harder to make up for the increase in blood flow.

Can you shower with dialysis port?

You can shower or bathe if you have a clear dressing that sticks to your catheter site and the skin around it. This type of dressing is recommended because it’s water proof, which helps prevent infection. And because it’s clear, you can see signs of infection.

How long does an AV fistula last?

AV grafts can be safely used in about two weeks, as no maturation of the vessels is necessary. Grafts have a lifespan of approximately 2 to 3 years but can often last longer.

What is the difference between AV fistula and shunt?

An AV fistula is an abnormal connection between an artery and a vein, and is sometimes surgically created to help with haemodialysis treatment. In these cases, a shunt graft is inserted to aid the treatment. Unfortunately, sometimes the shunt will fail, known as graft malfunction.

How long does AV graft last?