Hemodialysis Treatment

Access for dialysis is a critical procedure for patients with kidney failure who require hemodialysis. Hemodialysis is a treatment that filters and purifies the blood using a machine, mimicking the function of healthy kidneys. To perform hemodialysis, a reliable access point to the bloodstream is necessary. This access is typically created using a fistula, known as an arteriovenous fistula (AVF).

What is an Arteriovenous Fistula (AVF)?

An arteriovenous fistula (AVF) is a connection made between an artery and a vein. This connection is surgically created to provide a durable and efficient access point for hemodialysis. AVFs are preferred for dialysis access because they have a lower risk of infection and clotting compared to other types of access.

Causes for Creating a Fistula

The primary reason for creating a fistula is kidney failure. When kidneys fail, they cannot filter waste and excess fluids from the blood effectively. Hemodialysis takes over this function, and a well-functioning fistula is crucial for the process.

Procedure During Surgery

Simple Fistula:

Pre-Surgery: Dr. Azeem, the best vascular and endovascular surgeon in Islamabad, will assess the patient’s veins and arteries to determine the best location for the fistula.
Procedure: Under local anesthesia, Dr. Azeem will make a small incision to connect an artery to a vein, usually in the arm. This connection allows the vein to grow stronger and larger, making it suitable for dialysis needles.
Duration: The procedure typically takes 1-2 hours.

Complex Fistula:

Pre-Surgery: In cases where veins are not ideal, Dr. Azeem might use advanced techniques to create a complex fistula.
Procedure: This may involve using synthetic grafts or creating the fistula in a more challenging location. The approach depends on the patient’s unique anatomy and health condition.
Duration: Complex procedures may take longer and require additional expertise.

Post-Surgery Care

Monitoring: Regular check-ups with Dr. Azeem to ensure the fistula is maturing properly and is ready for dialysis.
Exercise: Patients may be advised to perform specific exercises to help the fistula mature faster.
Protection: Avoiding heavy lifting and ensuring the fistula arm is not used for blood pressure measurements or blood draws.
Infection Prevention: Keeping the surgical site clean and dry, and monitoring for signs of infection such as redness, swelling, or drainage.
Hydration and Diet: Following a kidney-friendly diet and staying hydrated as per medical advice.
Education: Learning how to care for the fistula site and recognizing potential complications like clotting or reduced blood flow.

Creating a fistula is a vital step for patients requiring hemodialysis. Dr. Azeem, the best vascular and endovascular surgeon in Islamabad, provides expert care in both simple and complex fistula creation, ensuring that each patient receives the best possible access for their dialysis needs. With his expertise, patients can expect a smooth procedure and comprehensive post-operative care, leading to better overall health outcomes.

Make A Appointment Today

In order to book an appointment with Dr. Syed Muhammad Azeem you can call (051) 846-3231 or click the Book Appointment button.