POSTED BY Dr. Sumit Kapadia | Oct 19, 2023

Everything you should know about fistula operation for dialysis

Embarking on the journey through dialysis is a significant step that necessitates comprehensive preparation and understanding, particularly regarding the arteriovenous fistula (AV Fistula). This conduit, created between an artery and a vein, is fundamental in facilitating effective dialysis sessions, serving as a lifeline for individuals undergoing this treatment. This article seeks to navigate you through the essential considerations, preparations, and expectations tied to the fistula operation for dialysis.

What is an AV Fistula?

An AV Fistula is a surgically created connection that links an artery to a vein, a necessary alteration for individuals slated to undergo dialysis. Conducted meticulously by renowned professionals like Dr Sumit Kapadia, the fistula operation for dialysis is underscored by a commitment to patient well-being, maximizing the efficiency and sustainability of dialysis treatments by facilitating optimal blood flow.

How is an AV Fistula Used During Dialysis?

The AV Fistula assumes a crucial role in the dialysis process, enabling an efficient and smooth flow of blood between the body and the dialysis machine. The fistula, carefully crafted through surgery ( usually undrt local anesthesia), ensures that blood can be safely removed, filtered, and returned, embodying a core component in the realization of successful and sustainable dialysis treatments.

Unlike misconceptions, no device is placed in an AV fistula. The thrill or buzzing sound heard over the fistula is the result of fast arterial blood passing directly into the soft and distensible veins.

When Does AV Fistula Surgery Take Place?

The timing of the AV fistula surgery is an essential factor requiring thoughtful consideration. The operation, ideally conducted in the hand, should be meticulously planned to ensure the fistula is appropriately matured and optimized for subsequent dialysis sessions, ensuring its longevity and functionality. Most nephrologists would recommend an AV fistula at least 2 to 3 months before the likelihood of initiation of dialysis.

Are There Alternatives to AV Fistula?

While the AV Fistula stands as a pivotal element in dialysis preparations, it’s important to acknowledge the presence of alternatives such as grafts and central venous catheters. However, the AV fistula, with its unique attributes, remains a preferred choice due to its durability and lower complication rates, solidifying its standing as a fundamental asset in dialysis procedures. Because of the time it takes to develop and mature, if dialysis has to be initiated earlier, a temporary central line catheter would have to be inserted.

What Distinguishes Dr. Sumit Kapadia?

In the realm of fistula surgery, Dr. Sumit Kapadia emerges as a paragon of expertise and compassionate care. His extensive experience and nuanced understanding of patient needs ensure a standard of care that is both empathetic and exceedingly knowledgeable. He has been instrumental in developing a world class dialysis access Centre and has contributed to finding solutions for more than 10,000 patients requiring AV Fistula, or with Fistula failures or complications. Some of the advanced methods like basilic vein transposition and fistula angioplasty are performed regularly, for which Dr Sumit has been recognised on a national level.

Dr. Kapadia’s approach transcends mere clinical interactions, fostering an environment where patients are empowered with essential knowledge and support. His dedication shines through, ensuring that every patient is well-prepared and comprehensively supported throughout their dialysis journey. To experience this dedicated support and care, you can easily schedule an appointment with Dr. Kapadia, ensuring you’re in esteemed hands.


In the journey through dialysis, preparation remains an unequivocal pillar, ensuring that every individual is best positioned to navigate their treatment with confidence and the requisite knowledge. Understanding the AV Fistula’s role, the considerations surrounding its surgery, and the support available through exceptional professionals like Dr. Sumit Kapadia remains central in this preparation, cultivating a pathway marked by comprehensive care, support, and expertise.

Navigating the Journey of AV Fistula Surgery: Your Questions Answered

On the journey of undergoing an AV Fistula surgery can often be filled with uncertainties and questions. Knowledge is a powerful tool in preparing oneself for what to expect, aiding in making informed decisions and easing pre-surgery anxieties. Below is a carefully curated section of Frequently Asked Questions (FAQs) aimed at providing succinct yet comprehensive answers to some of the common queries concerning AV Fistula surgery. Spearheading the discussion is Dr Sumit Kapadia, whose wealth of experience and expertise in the field offers profound insights, helping to demystify the various aspects of the surgery, from preparation to recovery

1. How do you prepare for an AV fistula surgery?

Preparing for an AV fistula surgery involves several crucial steps. Before the procedure, ensure you have a detailed discussion with your vascular surgeon, like Dr. Sumit Kapadia, about the process, risks, and post-operative care. Maintain a healthy lifestyle, follow prescribed medications, and adhere to pre-surgery instructions from your surgeon.

2. Is AV fistula surgery painful?

Some discomfort and pain are expected post-AV fistula surgery, but pain levels vary from person to person. Rest assured, professionals like Dr. Sumit Kapadia take necessary measures to manage and minimize any discomfort during and after the surgery for a smoother recovery process.

3. What is the rule of 6 for dialysis fistula?

The rule of 6 in dialysis fistula refers to certain benchmarks that a healthy fistula should ideally meet: a flow of 600 mL/min, less than 6 mm in diameter, and not deeper than 6 mm beneath the skin. These rules are essential for ensuring that the fistula functions optimally for dialysis procedures.

4. How long does it take for a fistula to be ready for dialysis?

An AV fistula typically requires several weeks to mature and be ready for dialysis—usually around 6 to 8 weeks. However, individual healing processes vary, and your surgeon, possibly Dr Sumit Kapadia, will guide you on when it’s suitable to commence dialysis using the new fistula.

5. Is AV fistula surgery risky?

Every surgical procedure carries inherent risks. However, in the hands of experienced vascular surgeons like Dr Sumit Kapadia, the risks associated with AV fistula surgery, such as infection or clotting, are meticulously managed and minimized to ensure patient safety and well-being.

6. How long is the recovery time for fistula surgery?

The recovery time following fistula surgery can vary, but most individuals find that they can resume normal activities within a few days. Full recovery and fistula maturation, essential for dialysis, typically span a few weeks. Guidance from your surgeon will be crucial in navigating your personalized recovery journey.

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