A well-functioning dialysis access is essential for effective treatment and long-term health in patients requiring regular dialysis.

TYPES OF DIALYSIS ACCESS

• - AV Fistula: Connection between artery and vein (gold standard)
• - AV Graft: Synthetic tube connecting artery and vein
• - Dialysis Catheter: Temporary access placed in a large vein

WHO NEEDS DIALYSIS ACCESS?

• - Patients with chronic kidney disease (CKD)
• - Patients with end-stage renal disease (ESRD)
• - Patients requiring long-term dialysis

BENEFITS OF AV FISTULA

• - Long-lasting and durable
• - Lower risk of infection
• - Better blood flow for dialysis
• - Fewer complications compared to catheters

PROCEDURE OVERVIEW

• - Performed under local anesthesia
• - Small surgical procedure (30–60 minutes)
• - Usually created in the arm
• - Requires time (4–8 weeks) to mature before use

POSSIBLE COMPLICATIONS

• - Infection
• - Clotting (thrombosis)
• - Poor maturation
• - Swelling or pain

CARE & MAINTENANCE

• - Keep the access site clean
• - Avoid heavy lifting with that arm
• - Check for thrill (vibration) daily
• - Avoid BP measurement or injections in that arm

ADVANCED OPTIONS

• - Fistula salvage procedures
• - Angioplasty for blocked access
• - Revision surgeries

WHY EARLY PLANNING IS IMPORTANT?

Early creation of dialysis access ensures better outcomes and avoids emergency catheter placement, reducing risks and improving quality of life.

Consult a vascular specialist for timely and safe dialysis access creation.