An AV fistula is created by connecting an artery directly to a vein, usually in the forearm. This type of access point is preferred for long-term dialysis because it lasts longer and has fewer complications compared to other types.

Arteriovenous (AV) Graft

An AV graft involves connecting an artery to a vein using a synthetic tube. This option is used when patients have small or weak veins that are not suitable for an AV fistula.

Central Venous Catheter

A central venous catheter is a temporary solution used when immediate dialysis is needed. It involves placing a tube in a large vein in the neck, chest, or groin.

Pre-Procedure Preparation

Dr. Shashank Shetty conducts a thorough evaluation to determine the most suitable type of vascular access based on the patient’s medical history, vein size, and dialysis needs. Ultrasound imaging may be used to assess the veins.

During the Procedure

• Local Anesthesia: The procedure is performed under local anesthesia to numb the area.
• Surgical Creation: Depending on the type of access, Dr. Shetty will surgically create the AV fistula, graft, or place the catheter.
• Monitoring: The access point is monitored during the procedure to ensure proper placement and function.