Percutaneous AV Fistula Creation – A Minimally Invasive Dialysis Access Option
What is a Percutaneous AV Fistula (pAVF)?
A percutaneous arteriovenous fistula (pAVF) is a minimally invasive, image-guided procedure used to create a connection between an artery and a vein for hemodialysis access. Unlike traditional surgical AV fistula creation, pAVF is performed without open surgery, using a catheter-based technique to join the artery and vein. This allows for quicker healing, fewer complications, and improved long-term outcomes.
Benefits of Percutaneous AV Fistula (pAVF) vs. Traditional Surgery
- No Surgical Incision – Reduces the risk of infection and scarring.
- Faster Recovery – Patients experience less pain and return to daily activities sooner.
- Preserves Veins for Future Use – Avoids unnecessary damage to delicate veins.
- Improved Maturation Rates – pAVFs often mature faster than surgically created fistulas.
- Minimally Invasive – Performed under local anesthesia with real-time ultrasound and fluoroscopy guidance.
Who is a Candidate for pAVF?
- Patients with end-stage renal disease (ESRD) requiring hemodialysis.
- Individuals with small or delicate veins who are not ideal candidates for surgical fistula creation.
- Patients who want a less invasive, faster-healing alternative to surgery.
How is the Procedure Performed?
At RJIR Vascular & Oncology, we use advanced image-guided techniques to create a percutaneous AV fistula:
- Local anesthesia is applied, ensuring patient comfort.
- A small catheter is inserted into the vein and artery using ultrasound and fluoroscopy guidance.
- A specialized device connects the artery and vein, creating the fistula.
- Blood begins flowing through the newly created fistula, which gradually enlarges to support dialysis.
Most patients can go home the same day with minimal discomfort.
Post-Procedure Care & Follow-Up
- The pAVF typically matures within 6–8 weeks, allowing for dialysis use.
- Regular ultrasound monitoring ensures proper fistula development.
- Patients are advised to avoid heavy lifting and strenuous activity during the healing process.
Why Choose RJIR Vascular & Oncology for pAVF Creation?
- Expert Interventional Specialists – Experienced in minimally invasive dialysis access procedures.
- State-of-the-Art Imaging Technology – Ensures precise placement and optimal fistula function.
- Patient-Centered Approach – We prioritize comfort, safety, and long-term dialysis success.
Schedule a Consultation Today to see if percutaneous AV fistula creation is right for you!
We treat people, not just their illnesses
Each individual is unique, and we are aware that treatment is simply one part of what they need. At any time, our team is available to assist, inform, and reassure you as needed.